Adult female acne: a guide to clinical practice

Background: Acne in women is often associated with anxiety and depression, and may persist from adolescence as well as manifest for the first time in adulthood. Genetic and hormonal factors contribute to its etiopathogenesis, and maintenance treatment is required, usually for years, due to its clini...

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Bibliographic Details
Published in:Anais brasileiros de dermatología 2019-01, Vol.94 (1), p.62-75
Main Authors: Bagatin, Edileia, de Freitas, Thais Helena Proença, Rivitti-Machado, Maria Cecilia, Ribeiro, Beatriz Medeiros, Nunes, Samanta, da Rocha, Marco Alexandre Dias
Format: Article
Language:English
Subjects:
Acne vulgaris
Acne Vulgaris - drug therapy
Acne Vulgaris - etiology
Adult
Advanced treatment
Androgens
Anti-Bacterial Agents - therapeutic use
Consensus
Dermatologic Agents - therapeutic use
DERMATOLOGY
Female
Hormones
Humans
Hyperandrogenism
Practice Guidelines as Topic
Quality of Life
Review
Risk Factors
Sebum
Skin
Therapeutics
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Summary:Background: Acne in women is often associated with anxiety and depression, and may persist from adolescence as well as manifest for the first time in adulthood. Genetic and hormonal factors contribute to its etiopathogenesis, and maintenance treatment is required, usually for years, due to its clinical evolution. Objective: To develop a guide for the clinical practice of adult female acne. Methods: A team of five experts with extensive experience in acne conducted a literature review of the main scientific evidence and met to discuss the best practices and personal experiences to develop a guide containing recommendations for the clinical practice of adult female acne. Results: The group of specialists reached consensus on the main guidelines for clinical practice, providing detailed recommendations on clinical picture, etiopathogenesis, laboratory investigation and treatment of adult female acne. Conclusion: Different from teenage acne, adult female acne presents some characteristics and multiple etiopathogenic factors that make its management more complex. This guide provides recommendations for best clinical practices and therapeutic decisions. However, the authors consider that additional studies are needed in order to provide more evidence for adult female acne to be better understood.
ISSN:0365-0596
1806-4841
1806-4841
DOI:10.1590/abd1806-4841.20198203