You don't know these 10 common skin conditions among infants

10 common skin problems among infants

A mother’s womb is considered to be an unassailable place for any child. It takes months of care and nurturing to transform a fetus into a human body and during the whole process, the womb acts as a shield for the child, protecting it from every possible danger of the world outside. The hard part of the journey commences when the child is delivered and exposed to the harsh elements of this world. As the two are completely different spaces, very often, newborn babies are unable to adapt to the new environment.

From birth to the initial years, a child’s immune system is fragile and constantly under development. Generally, infants are extremely sensitive to their environment, due to which they can develop a number of common or rare skin conditions. Living in a polluted environment and living high-paced lifestyles, it becomes impossible for mothers to protect their children from every type of skin condition; however, with the knowledge of these skin conditions among infants and associated preventive skincare, these skin conditions can certainly be avoided.

Let’s discuss some of the common-to-rare infant skin conditions in detail:

Diaper rash

Perhaps one of the most common skin conditions an infant’s mother faces is a “diaper rash”. A diaper rash, or ‘diaper dermatitis’, can occur on a baby’s bottom as early as in the first week of birth, but is most commonly found between 9-12 months. A recent study by Sukhneewat et al. (2019) found that the risk factors contributing to the high prevalence of 36.1% were:

  1. diaper changing fewer than three times/per night,
  2. previous episodes of diaper rash,
  3. using cloth diapers, and
  4. topical application of baby talcum powder to the diaper area.”

Any of these above factors can cause a diaper rash, which is the irritation of the skin or the appearance of patches of redness on the baby’s bottom or genital areas. Basically, it is a skin condition that is identified by skin inflammation caused due to overuse of diapers holding urine or faeces for too long or skin sensitivity. Very often, the skin around the diaper region does not get proper air and the natural defence mechanism of the body gets disrupted resulting in rashes.

The best way to avoid a diaper rash is the frequent change of diapers which would reduce contact irritation. n severe cases, zinc-oxide-based ointments or powders can also be applied, but seeking a medical professional’s advice here is recommended.

Dry skin

Just like adults, even babies suffer from dry skin issues from time to time, especially during cold weather or after long hot baths. Dry skin in infants is caused when the delicate baby skin does not get enough moisture. Roughness, cracks, dry patches, fine lines, shines and flakiness are the most common symptoms; these signs are spotted anywhere, but majorly occur around the hands, feet, faces and lips. Usually, dry skin is not a big issue and can be cured at home using home remedies like proper application of oil and moisturizer on the body of the infant before and after a bath, giving them shorter baths of warm water and keeping them hydrated with enough fluids.

Infant Acne

Research has found that acne is a common skin condition in infants, and affects 20% of infants under six weeks of age; this is not true acne, but a result of inflammation caused by the yeast Malassezia (Samycia & Lam, 2016). Some researchers also believe that an alternate cause of infant acne is maternal hormones. Their symptoms are no different than those of adult acne, which is the eruption of red and white blisters, usually surrounded by inflamed skin around it. The most common parts of the body which are affected by infant acne are the cheeks, neck and upper back. While this skin condition in infants clears off in a few weeks, it can also last for months in some rare cases.

Roseola

Also known as the sixth disease or ‘roseola infant, Roseola is a viral illness majorly affecting infants between the age of 6-24 months old. This skin condition in infants is caused by the two common strains of closely related viruses – Human Herpesvirus (HHV) type 6 and type 7. It is accompanied by a high fever and a distinctive rash visible on the body. Usually, the fever lasts up to two weeks after being exposed to the infected person. The most common symptoms are a fever of 103 F, a runny nose, sore throat or cough with preceding fever, and rashes. The rashes occur on the chest, back, and abdomen area once the fever subsides. It also causes irritation, mild diarrhoea, decreased appetite, and swollen eyelids among children.

Hand, foot, and mouth disease

Caused by Enterovirus, it is a highly contagious infection. It spreads through direct as well as surface contact from person to person. Its transmitters are a person’s infected saliva, stool, and respiratory droplets sprayed into the air after coughing or sneezing. Usually, it is accompanied by painful red blisters in the mouth, sore throat, poor appetite, irritation, red rashes on the hands and feet. This infection can affect people of all age groups, but it is usually caused in children under the age of 5.

Infantile hemangioma

An infantile hemangioma is a type of a birthmark that grows in or under a baby’s skin due to the tangling of blood vessels forming a dense clump. It can occur anywhere in the whole body of the baby, but this is mostly present on the face, chest, scalp or on the back. Initially, it grows abruptly and bumps up from the skin, and later on, it disappears when it enters the resting phase. Generally, it disappears by the age of 5, but in some cases, it can go up to 10 years.

Nevus sebaceous

Technically classified as a hair follicle tumour, this skin condition in infants is a group of extra oil glands under the skin. Usually visible on the face, neck, forehead and scalp, it can present itself anywhere in the head region. Nevi sebaceous usually appears differently in young children than in adulthood, though at all stages of life, the lesions are hairless. Typically, only one patch of the skin gets affected, but it appears as a large plaque. It usually does not affect the child's health, but in bothersome conditions, it can be removed through biopsy.

Tranent Neonatal Pustular Melanosis

Just like the name of the disease, its composition also involves a group of disorders classified under various forms of pustulosis, a highly inflammatory skin condition in infants. Unlike most other skin conditions, it is found in the first four weeks of life and not right after birth. Its diagnosis is a little technical but can be clinically done. A key feature of Tranent Neonatal Pustular Melanosis is Pustules (pus) without reddish skin tone around the bump. Further areas which can be involved are the forehead, posterior ears, chin, neck, upper chest, back, buttocks, abdomen, thighs, palms, and feet. Pustules might leave the hyperpigmented skin after weeks which later on lightens or completely disappears.

Ichthyosis:

Ichthyosis is a variant of a genetic disorder, which is marked by the accumulation of dead skin cells in thick scales on the skin’s surface, commonly known as Abnormal Epidermal Differentiation. In this condition, the neonatal period is the most critical; this is the period where the mortality rate is high in babies with rising complications. Although it is a fairly rare skin condition, it can become life-threatening when other critical conditions of infancy are concerned together. As it is a genetic disorder, it generally cannot be avoided by the parents. Most dermatologists recommend the use of humidified incubators for babies suffering from this disease.

Lyme disease

Infected by a Bacteria known as ‘Borrelia burgdorferi’, Lyme disease is a tick-borne disease usually transmitted by the bite of deer ticks. Mostly active in the spring and summer seasons, it is uncommon among young babies and the symptoms are often a red circular-shaped, almost bull's size rash. It can get bigger or multiply if not treated for long. Flu symptoms like fever, nausea, headache, joint pains, swollen lymph nodes, poor appetite, chills and neck stiffness are also found when infected by this disease.

This summary of skin conditions among infants is not extensive but gives you the essential information of the most common to rare disorders. As a parent, it is important to be informed so you can seek the right medical care early on and keep your baby safe and healthy.

Literature Reference:

Samycia M, Lam JM. Infantile acne. CMAJ. 2016;188(17-18):E540. doi:10.1503/cmaj.160139Sukhneewat C, Chaiyarit J, Techasatian L. Diaper dermatitis: a survey of risk factors in Thai children aged under 24 months. BMC Dermatol. 2019;19(1):7. Published 2019 Jul 2. doi:10.1186/s12895-019-0089-1

Back to blog

Leave a comment

Please note, comments need to be approved before they are published.

  • The Delicate Balance of Children's Skin: Why Ad...

    Are you using your shampoo for your kids as well? Is it safe for your kids? Are you a parent struggling to find the right skincare products for your kids...

    Read more

    The Delicate Balance of Children's Skin: Why Adult Skincare Isn't Suitable

    Are you using your shampoo for your kids as well? Is it safe for your kids? Are you a parent struggling to find the right skincare products for your kids and teens? Many parents even switch to using adult products once their kids reach 6 years old due to this confusion. As parents, our children's well-being is paramount, and understanding the unique needs of their developing skin and hair is crucial. Their skin and hair differ significantly from adults, and using adult products can have adverse effects. Dr. Prajakta Bhokre, a seasoned pediatrician and neonatologist in Pune, emphasizes, “Children's skin and hair are delicate and require special care. Adult skincare and hair care products can disrupt the delicate balance and harm their developing systems." Kids' Skin: A Delicate Canvas To comprehend the importance of specialized care for children's skin, we must recognize the structural differences between their skin and adults'. A child's skin is thinner, more delicate, and has a higher surface area to body weight ratio than adults. Their skin's natural protective barrier, composed of lipids, is not fully developed, which means their skin is not as efficient at retaining moisture and is more susceptible to dehydration, irritation, and damage from environmental factors such as UV radiation and pollutants. Even the pH level of a child's skin is more acidic, which helps to ward off harmful bacteria and makes it more sensitive to changes and potential damage. Their hair is finer and less oily, resulting in a greater tendency for tangles and breakage. Why It's Unsafe for Kids to Use Adult Products? Adult skincare and hair care products often contain potent ingredients like parabens, sulphates, silicones, talc, and phthalates that may be too harsh for a child's delicate skin and hair. Ingredients like retinoids, salicylic acid, and strong fragrances can strip away natural oils, disrupt the skin's pH balance, and cause allergies, rashes, or even chemical burns in children. Moreover, many adult products are formulated to address age-specific concerns, such as wrinkles or acne, which are not relevant to children. Ideal Ingredients for Kids' Skincare and Hair Care For kids aged 5-10, it's important to choose products with gentle, natural ingredients. Ingredients like almond oil, olive oil, basil oil, rice protein, aloe vera, coconut oil, shea butter, turmeric oil, and oats are not only nourishing but also gentle on young skin and hair. “These ingredients hydrate, protect, soothe, and help maintain the skin's natural moisture barrier, promoting healthy growth and making them perfect for nurturing young skin and hair,” says Dr. Bhokre The Importance of Age-Appropriate Products (0-10 years) It's essential to select age-appropriate products for kids. Dr. Bhokre further states that “Children aged 5-10 years should use products specifically designed for their age group, such as baby products ranging from 0-10 years. These products are formulated with the unique needs of growing children's skin and hair in mind, providing gentle care without harsh chemicals.” They contain milder ingredients, ensuring that kids' skin remains protected and nourished. pH Levels: A Precarious Balance A child's skin is more prone to pH level changes than an adult's. Their skin's pH is naturally more acidic at around 5.5, which acts as a barrier against harmful bacteria. Adult products can disrupt this delicate balance, leaving their skin vulnerable, further leading to dryness, itchiness,  infections, or even eczema. Structural Differences in Hair In addition to skin, a child's hair is structurally different from an adult's. Children's hair is finer, more fragile, less porous and lacks the oil-producing capabilities of adult hair. Adult hair products may strip their hair of its natural oils, leaving it dry and brittle. Ingredients to Avoid in Kids' Products “When selecting skincare and hair care products for kids, it's essential to avoid harsh chemicals like sulfates, talc, asbestos, silicones, mineral oils, parabens, and strong fragrances. These ingredients can irritate the skin and harm their overall health”, says Dr. Bhokre. Opt for products that are free from harmful additives to keep the child’s skin healthy while keeping them safe from the detrimental effects of these harmful chemicals. At CITTA we focus on using the highest quality natural ingredients while keeping harsh chemicals at bay. Our products are carefully formulated to cater to the unique needs of children's skin and hair. CITTA prioritizes safety and nourishment for kids' skin and our commitment to natural ingredients ensures that children can enjoy healthy, glowing skin without the risk of adverse reactions. While it may be tempting to use adult skincare and hair care products on your children, it's essential to consider their unique skin and hair needs. Opt for products specifically designed for kids, enriched with natural ingredients, and free from harsh chemicals. Our products promote healthy skin for children while emphasizing the importance of nourishment and safety in children's skincare routines. After all, our children deserve the very best, and that begins with caring for their delicate skin and hair with the utmost attention and care.

    Read More
  • Baby's Delicate Skin Deserves the Best: Choose ...

    Dr Jagadish Dhekne (MD) is a distinguished Consulting Pediatrician in Pune. With an impressive track record, he served as Former President of the Maharashtra State Academy of Pediatrics in 2010...

    Read more

    Baby's Delicate Skin Deserves the Best: Choose the Perfect Skincare for your Bundle of Joy

    Dr Jagadish Dhekne (MD) is a distinguished Consulting Pediatrician in Pune. With an impressive track record, he served as Former President of the Maharashtra State Academy of Pediatrics in 2010 and Former President of the Indian Academy of Pediatrics Pune Branch from 2008 to 2009. He's also the Director of Unique Hospital for Children and Kartik Group of Hospitals in Pimpri-Chinchwad, Pune. Dr Dhekne is recognized as a Master Trainer for both the "Asthma Training Module" and "Problem-Solving in Paediatric Infectious Diseases (PSPID)" by IAP.  As you embark on this new adventure called parenting, keeping your bundle of joy cosy and well-fed becomes your top-most priority. You’d move mountains to ensure they’re showered with all the TLC in the world; you would go to any lengths to protect them. Apart from ensuring the right nutrition and shielding them from heat and cold, even delicate matters like choosing the right skincare for your ‘mini-me’ can become an uphill task. Their sensitive and delicate skin requires the utmost care. If you’re unsure about how to choose the best skincare products for your little munchkins, we’ve got you covered! Dr Jagadish Dhekne (MD), who is among the distinguished consulting pediatricians from Pune, is here to drop some wisdom on pampering that adorable epidermis and the dos and don'ts of skincare for babies. He also gives us a low-down on how to pick the safest baby skincare brands: Allergen-free formulations:  Opt for products that are free from harsh chemicals, strong fragrances, and dyes. Allergen-free formulations are designed to minimise the risk of adverse reactions and are gentler on your baby's skin. Avoid harmful ingredients:  “Avoid products that contain parabens, sulfates, phthalates, and artificial preservatives, as these chemicals can cause skin irritations and potential long-term health risks. Instead, choose products with natural Indian ingredients such as aloe vera, coconut oil, turmeric oil, and almond oil, known for their soothing properties,” says Dr Dhekne. Moisturisation is key: Babies are prone to dry skin, especially in certain weather conditions. Choose moisturising products specifically formulated for babies to keep their skin soft and hydrated. Read labels thoroughly: Take the time to read product labels carefully and pay attention to certifications such as ‘paediatrician-tested’ and ‘dermatologist-approved.’ These endorsements offer added assurance about the product's safety and efficacy. Minimalistic approach: Stick to the essentials for baby skincare, such as a gentle baby wash and moisturiser. Avoid overwhelming your baby’s skin with too many products. Consult a paediatric dermatologist: When in doubt, seek professional advice. Paediatricians can assess your baby’s skin type and recommend suitable products based on their needs. A dermatologist can also provide personalised guidance if your child has specific skin conditions like eczema or cradle cap. “The natural ingredients in babycare products help soothe and protect the delicate baby skin, leaving it soft, supple and healthy. Parents can witness improved skin conditions, reduced irritation and a noticeable difference in their baby's overall skin health after using natural and organic products,” adds Dr Dhekne. When it comes to baby skincare, it’s always better to exercise caution. You can embrace the benefits of natural care through CITTA’s dermatologist-approved and ‘conscious’ baby skincare products. The brand is committed to crafting products with natural ingredients while maintaining the highest safety and efficacy standards. CITTA’s baby skincare range comprises gentle and nourishing formulations enriched with plant extracts, essential oils, and botanical goodness.

    Read More