Adult females with acne are particularly susceptible to psychological overlay.
“The psychological ramifications of acne are more significant in adult women than for teenagers, according to the literature,” says Hilary Baldwin, M.D., medical director of the Acne Treatment and Research Center in Brooklyn, N.Y. “Although teenagers are devastated by their disease, they at least look like all their fellow teenagers. They do not stand out in a crowd the way an adult female does.”
Dr. Baldwin also notes that acne lesion type and location are fairly standard in teenagers, but may differ in adult females, who fall into two categories: acne similar to teenagers or acne of the lower face and neck, often devoid of comedones.
“These two types of acne often call for different treatments due to lesion type, the skin sensitivity inherent to the older woman and the chronic nature of the disease,” explains Dr. Baldwin, who spoke on adult female acne at the Fall Clinical Dermatology Conference. “Women who have acne at age 25 are liable to have the disease until menopause.”
The good news is that compared to a teenager, an adult female is more likely to be compliant with her medications.
To treat adult female acne, dermatologists often turn to hormonal treatments, which include oral contraceptives and oral spironolactone. “Both of these drugs are highly effective,” said Dr. Baldwin, noting that the dosage regimen for spironolactone is 25 mg to 100 mg daily with food.
Dr. Baldwin reports no relevant financial disclosures.
Baldwin, HE. Female Acne. Presented at: 2019 Fall Clinical Dermatology Conference; October 18, 2019; Las Vegas, NV.