Acne in the Adult Female Patient: A Practical Approach

    September 2012 in “ International Journal of Dermatology ”
    Faranak Kamangar, Kanade Shinkai
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    TLDR Hormonal therapies are safe and effective for treating adult women's acne.
    The document reviewed acne vulgaris in adult female patients, highlighting its prevalence, pathogenesis, and treatment, with a focus on hormonal therapies. It noted that 41-54% of women and 34-40% of men experience adult acne, which can have significant psychosocial impacts. Hormonal factors play a key role in the pathogenesis, and treatments like oral contraceptives and anti-androgens are effective. The review stressed the importance of evaluating for endocrine disorders like PCOS, which is associated with acne and other dermatological signs. It also discussed the risks and side effects of hormonal treatments, such as an increased risk of thrombotic events with OCPs and potential side effects of spironolactone. The document concluded that hormonal therapies, particularly a combination of spironolactone and OCPs, are safe and effective for treating acne in adult women, and that a strong therapeutic alliance is crucial for successful management.
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