[Management of acne in women over 25 years of age].

@article{Rivera2009ManagementOA,
  title={[Management of acne in women over 25 years of age].},
  author={Raquel Rivera and Aurora Guerra},
  journal={Actas dermo-sifiliograficas},
  year={2009},
  volume={100 1},
  pages={
          33-7
        }
}
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A Study of Clinical and Hormonal Profile of Adult Women with Acne
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Adult women with acne present with more inflammatory lesions predominantly over chin and lower half of the face, while comedones being rare in them, according to this study.
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In most cases, adult acne affects the face, has mild to moderate clinical severity and is associated with normal hormonal levels.
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A 25-year-old woman with adult acne and elevated levels of testosterone and prolactine is presented, which is among the commonest inflammatory skin diseases affecting pilosebaceous units.
Acne in adult women: epidemiological, diagnostic and therapeutic aspects.
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The clinical manifestations of AFA in patients without hyperandrogenism are moderate, with predominance of inflammatory lesions, similar to that of acne vulgaris; however, special attention should be taken with more irritating medication since this group appears to be more predisposed to skin irritations.
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A holistic approach to acne therapy should be taken in adult females, which combines standard treatments with adjunctive therapy and cosmetic use, and recommendations for acne therapy in this patient group are provided.
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Adult-onset acne: prevalence, impact, and management challenges
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The majority of the normoandrogenic acne patients present a history since adolescence, but in many cases the lesion distribution and intensity change with time, and there is often a typical localization of the lesions in the lower third of the face and lateral region of the neck.
Female acne: a subtype different from teenager acne
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In conclusion, specific global assessment and a therapeutic algorithm would be necessary for female acne, which could be the result of both a peripheral hormonal hypersensitivity of the skin and a chronic stimulation of innate immunity.
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