Adult Female Acne: A Guide to Clinical Practice

February 2019 in “ Anais Brasileiros de Dermatologia ”

Ediléia Bagatin, Thaís Helena Proença de Freitas, Maria Cecília Rivitti Machado, Beatriz Medeiros Ribeiro, Samanta Nunes, Marco Rocha

adult female acne hormonal imbalances genetic predispositions topical therapies systemic therapies maintenance therapy

TLDR Adult female acne requires personalized treatment and maintenance to prevent relapse.

The document provided a comprehensive guide for managing adult female acne (AFA), a condition affecting women over 25, often linked to genetic and hormonal factors. It highlighted the complexity of AFA due to its multiple etiopathogenic factors, including hormonal imbalances, genetic predispositions, and lifestyle influences like diet and stress. The guide recommended various treatment strategies, including topical and systemic therapies, with a focus on personalized plans considering efficacy, tolerability, and patient adherence. It emphasized the importance of maintenance therapy to prevent relapse and discussed the psychological and social impacts of AFA. The document also called for further studies to enhance understanding and treatment of this condition.

View this study on scielo.br →

Discuss this study in the Community →

Research cited in this study

10 / 10 results

research Oral Spironolactone for Acne Vulgaris in Adult Females: A Hybrid Systematic Review

117 citations , February 2017 in “American Journal of Clinical Dermatology”

Oral spironolactone's effectiveness for adult female acne is not well-supported by strong evidence.

research Drug-Induced Acne: Causes, Diagnosis, and Treatment

52 citations , October 2016 in “Clinics in Dermatology”

Some medications can cause acne, and stopping these drugs is the main treatment.

research Beyond Acne: Current Aspects of Sebaceous Gland Biology and Function

97 citations , September 2016 in “Reviews in Endocrine and Metabolic Disorders”

The sebaceous gland has more roles than just producing sebum and contributing to acne, and new research could lead to better skin disease treatments.

research Epidemiology, Diagnosis, and Management of Polycystic Ovary Syndrome

951 citations , December 2013 in “Clinical epidemiology”

PCOS is a common hormonal disorder in women that can be managed with lifestyle changes and various medications.

research Insulin Sensitivity, Androgens, and Isotretinoin Therapy in Women with Severe Acne

19 citations , November 2012 in “Journal of Dermatological Treatment”

Isotretinoin improves severe acne without changing androgen or insulin levels but may increase body weight and triglycerides.

research The 5 Alpha-Reductase Isozyme Family: A Review of Basic Biology and Their Role in Human Diseases

218 citations , December 2011 in “Advances in Urology”

The document concludes that the 5 alpha-reductase enzymes are important in steroid metabolism and related to various human diseases, with inhibitors used to treat conditions like male pattern baldness and prostate issues.

research Adverse Effects of Isotretinoin: A Retrospective Review of 1743 Patients

121 citations , June 2010 in “Australasian Journal of Dermatology”

Most people on isotretinoin had chapped lips, but only a few stopped the medicine due to side effects.

research Is Dehydroepiandrosterone a Hormone?

403 citations , November 2005 in “Journal of Endocrinology”

Dehydroepiandrosterone (DHEA) is a prohormone important for producing sex steroids and has potential health benefits.

research Revised 2003 Consensus on Diagnostic Criteria and Long-Term Health Risks Related to Polycystic Ovary Syndrome

4809 citations , January 2004 in “Fertility and Sterility”

The 2003 consensus updated PCOS diagnosis criteria and highlighted increased risks of diabetes and heart disease for those affected.

research Revised 2003 Consensus on Diagnostic Criteria and Long-Term Health Risks Related to Polycystic Ovary Syndrome (PCOS)

4025 citations , December 2003 in “Human Reproduction”

The 2003 consensus updated PCOS diagnosis criteria and linked PCOS to higher risks of diabetes and heart problems, recommending lifestyle changes to lower these risks.