Infantile acropustulosis is a condition of unknown cause which occurs in
infants, usually under the age of 1 year. Intensely itchy vesicles which
quickly progress to pustules appear on the soles and the sides of the feet
and on the palms, often in the first 3 months of life. The pustules last for
one to several weeks and then subside only to reappear two to four
weeks later. Attacks recur with diminishing severity and frequency in
time and stay away at the end of the second or third year. The pustules
are sterile and the condition does not warrant antibiotic treatment, which
is a common misconception. Anti scabies treatment is also ineffective.
The condition often sééms to appear after successful treatment of scabies,
which should make you wonder whether it was scabies which was
treated in the first place.
Management of infantile acropustulosis
- Early use of topical corticosteroids is usually effective for itch and lessens the
severity of the attack.
- For severe itch antihistamines may be required.
- Antibiotics and antiscabies treatment are ineffective
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