All My Children

In adolescence in both sexes the skin texture coarsens and the pores (hair follicles) enlarge, more so in boys. Adolescent skin becomes susceptible to acne—more in one individual, less in another. In acne the wax from the sebaceous (wax) glands, which are connected to the hair follicles (to keep the skin and hair oiled), collects in the follicles and hardens there. The top of each plug of wax, mixed with dirt, becomes a ‘blackhead’, which can be squeezed out with the fingernails, with some difficulty and pain. When the pores become plugged, it is easy for ordinary pus germs, which are usually on the skin anyway, to work down and cause infections under the plugs. These first show as red pimples, which later get white tops on them (`whiteheads’) as the white blood cells collect to try to destroy the germs. Continue Reading »

See color insert for color photos of skin conditions.

A new baby’s skin is so sensitive that at times looking at her cross-eyed may seem to provoke a new rash. You will see spots and splotches come and go, especially in the first several weeks, but most don’t need special treatment.

The characteristics of newborn skin and some common conditions including erythema toxicum, milia, and salmon patches. In addition, during the first few weeks many babies develop pimples on the face, neck, and upper back, which in some cases look like acne. These pimples most likely are a response to some of mother’s hormones acquired just before birth, and with rare exception they will resolve without treatment. If they become progressively worse, however, have them checked by your baby’s healthcare provider. Continue Reading »