Long term option for older women with acne DermTwitter
, remembers hearing a colleague say that her most angry patients of the day were adult women with recalcitrant acne who present to the clinic with questions like, “My skin has been clear my whole life! What’s going on?”expressions of frustration may partly stem from the fact that high acne treatment failure rates occur in women over the age of 25
In her clinical experience, hormonal therapy is a safe long-term option for recalcitrant acne in postmenarcheal females over the age of 14. “Although oral antibiotics are going to be superior to hormonal therapy in the first month or two, when you get to about six months, they have equivalent efficacy,” she said.Telltale signs of acne associated with androgen excess include the development of nodulocystic papules along the jawline and small comedones over the forehead.
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