Document Detail

Adult female acne: a new paradigm.
MedLine Citation:
PMID:  23302006     Owner:  NLM     Status:  Publisher    
In the adult female, acne is a chronic condition with a substantial negative psychological, social and emotional impact. Based on time of onset, two subtypes of adult female acne are recognized: 'persistent acne' is a continuation of the disease from adolescence, while 'late-onset acne' first presents in adulthood. The morphological characteristics of adult female acne are often distinct from adolescent acne. In adults, inflammatory lesions (particularly papules, pustules and nodules) are generally more prominent on the lower chin, jawline and neck, and comedones are more often closed comedones (micro cysts). Adult acne is mainly mild-to-moderate in severity and may be refractory to treatment. A holistic approach to acne therapy should be taken in adult females, which combines standard treatments with adjunctive therapy and cosmetic use. A number of factors specific to the adult female influence choice of treatment, including the predisposition of older skin to irritation, a possible slow response to treatment, a high likelihood of good adherence, whether of child-bearing age, and the psychosocial impact of the disease. Adherence to therapy should be encouraged through further patient education and a simplified regimen that is tailored to suit the individual patient's needs and lifestyle. This article reviews the specific characteristics of adult female acne, and provides recommendations for acne therapy in this patient group.
B Dréno; A Layton; C C Zouboulis; J L López-Estebaranz; A Zalewska-Janowska; E Bagatin; V A Zampeli; Y Yutskovskaya; J C Harper
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-10
Journal Detail:
Title:  Journal of the European Academy of Dermatology and Venereology : JEADV     Volume:  -     ISSN:  1468-3083     ISO Abbreviation:  J Eur Acad Dermatol Venereol     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9216037     Medline TA:  J Eur Acad Dermatol Venereol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2013 The Authors. Journal of the European Academy of Dermatology and Venereology © 2013 European Academy of Dermatology and Venereology.
Department of Dermato-Oncology, University Hospital Hotel Dieu, Nantes, France, Department of Dermatology, Harrogate and District NHS Foundation Trust, Harrogate, North Yorkshire, UK, Departments of Dermatology, Venereology, Allergology and Immunology, Dessau Medical Center, Dessau, Germany, Servicio de Dermatología, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, Spain, Psychodermatology Department, Medical University of Łódź, Łódź, Poland, Department of Dermatology, UNIFESP-Universidade Federal de São Paulo, São Paulo, Brazil, Vladivostok State Medical University, Vladivostok, Russia and University of Alabama, Birmingham, AL, USA.
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