Acne in the adult female patient: a practical approach

  title={Acne in the adult female patient: a practical approach},
  author={Faranak Kamangar and Kanade Shinkai},
  journal={International Journal of Dermatology},
Acne vulgaris is a common reason why adult women present to dermatologists and can be a clinical challenge to treat. It may also be an important sign of an underlying endocrine disease such as Polycystic Ovary Syndrome (PCOS). Although standard acne therapies can be successfully used to treat acne in adult female patients, hormonal treatment is a safe and effective therapeutic option that may provide an opportunity to better target acne in this population, even when other systemic therapies… 

Clinical pearls in dermatology 2014.

A review of diagnosis and treatment of acne in adult female patients☆☆☆

Epidemiology and Management of Acne in Adult Women

The clinical and laboratory screening for considering polycystic ovarian syndrome when evaluating adult women with acne and the use of light-based therapies such as visible light and photodynamic therapy are discussed.

Acne in adult women: a review for the daily clinical practice

Acne in adult women is defined as an acneic picture present in women from 25 years of age, which has an impact on personal relationships and can lead to introspection and depression.

Adult female acne: Clinical and therapeutic particularities (Review)

The aim of the present article was to provide up-to-date, evidence-based information on the clinical presentation, etiopathogenesis and treatment of adult female acne.

Adult acne vulgaris: dispelling the myths and exploring the barriers to clinical care

The genetic and dietary myth associated with the condition acne is examined and the psychological impact of acne can be devastating, affecting relationships, self-confidence and even work performance.

Etiopathogeny of acne vulgaris: a practical review for day-to-day dermatologic practice

The present review aims at compiling the classically known etiopathogenic factors of acne vulgaris and introducing new concepts, such as the inflammatory nature of this condition, to help in the search for the best treatment option.

Case Report. A Case Report of Adult Acne

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.

The role of adolescent acne treatment in formation of scars Among patients with persistent adult acne: evidence from an observational study.

Results indicated that the use of isotretinoin or topical retinoids for adolescent acne decreased the risk for scar occurrence in adulthood, and the role in diminishing scar formation during adult acne was analyzed.



Hormonal Therapy of Acne

  • M. Haroun
  • Medicine, Biology
    Journal of cutaneous medicine and surgery
  • 2004
Hormonal therapy is an excellent choice for female patients with acne who have SAHA syndrome, polycystic ovarian syndrome, HAIRAN syndrome, hyper androgenism, insulin resistance, acanthosis nigricans, or cutaneous hyperandrogenism and may be combined to enhance therapeutic efficacy.

Diagnosis and management of the dermatologic manifestations of the polycystic ovary syndrome

No uniform treatment approach for the management of the cutaneous manifestations of PCOS has been agreed upon, but the data on various treatment options and the author's treatment approach to these patients are presented.

Hirsutism and acne in polycystic ovary syndrome.

  • J. ArcherR. J. Chang
  • Medicine, Biology
    Best practice & research. Clinical obstetrics & gynaecology
  • 2004

Post‐adolescent acne: a review of clinical features

Most patients had persistent acne; but true late‐onset acne (onset after the age of 25 years) was seen in 28 (18.4%) of women and four (8.3%) of men, and a family history revealed that 100 (50%) of patients had a first‐degree relative with post‐adolescent acne.

Acne: hormonal concepts and therapy.

Acne vulgaris in the United States: a descriptive epidemiology.

This analysis only included patients who sought treatment of their acne and may underestimate the total prevalence of acne in the population, but it is clear that acne is a disease that affects all age groups, not just adolescents.

Management of acne: a report from a Global Alliance to Improve Outcomes in Acne.

Dermatologic Manifestations of Polycystic Ovary Syndrome

Women with PCOS may present with a range of signs and symptoms, and face increased risks of reproductive, metabolic, cardiovascular, psychologic, and neoplastic sequelae, particularly if the condition is left unrecognized or untreated.