Post-adolescent Female Acne
While acne has been traditionally considered an adolescent disorder, recent studies show a significant prevalence among adults. The mean age of presentation for acne treatment is 24 years with 21 % of acne office visits by patients 25–34 years old and 15 % of these visits by patients 35 years and older . In adults, acne occurs more frequently among women than men . The characteristic clinical picture is mild to moderate deep-seated inflammatory papules and nodules on the face, especially the chin, jawline, and neck. Most commonly, this is “persistent” acne, which began in adolescence and has continued to adulthood, although a “late-onset” form also occurs. Recognizing acne in this population and providing treatment is essential since acne scarring can be correlated with duration of disease .
KeywordsOral Contraceptive Sebaceous Gland Cyproterone Acetate Acanthosis Nigricans Acne Scarring
- 8.McGeown CH, Goulden V, Holland DB, et al. Sebum excretion rate in post-adolescent acne compared to controls and adolescence acne. J Invest Dermatol. 1997;108:386.Google Scholar
- 10.Darley CR, Kirby JD, Besser GM et al. Circulating testosterone, sex hormone binding globulin and prolactin in women with late onset or persistent acne vulgarisGoogle Scholar
- 16.Cunliffe WJ. Natural history of acne. In: Plewig G, Marks R, editors. Acne and related disorders. London: Martin Dunitz; 1989. p. 4–6.Google Scholar
- 30.Ebede TL, Arch EL, Berson D. Hormonal treatment of acne in women. J Clin Aesthetic Dermatol. 2009;2:16–22.Google Scholar
- 32.Lobo RA. Hyperandrogenism: physiology, etiology, differential diagnosis, management. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, editors. Comprehensive gynecology. 5th ed. Philadelphia, PA: Elsevier; 2007. p. 983–92.Google Scholar