Adult Acne

    January 2014 in “ Springer eBooks ”
    Anne W. Lucky, Clio Dessinioti, Andreas Katsambas
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    TLDR Adult acne is more common in women, often linked to hormones, and can be harder to treat.
    The document from 2014 details that adult acne, which can either persist from adolescence or emerge after age 25, is more common in women and may be influenced by a genetic predisposition. Hormonal factors, particularly in women with conditions like PCOS and CAH, play a significant role in its pathogenesis, with premenstrual flares being typical. Adult acne often presents as deep inflammatory papules on the lower third of the face and is more resistant to treatment. The prevalence in women is reported between 12 to 51%, and in men between 3 to 42%. Diagnosis involves a comprehensive medical and family history, physical examination, and laboratory tests to identify hyperandrogenemia and metabolic syndrome. Treatment options include hormonal therapy and isotretinoin, but not all patients with hormone-related acne will show abnormal blood tests, possibly due to increased skin sensitivity to androgens.
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