PEER-REVIEW | DERMATOLOGY | AD ACNE IN Victor Gabriel Clatici summarises the common causes and
triggers of adult acne in women, as well as popular treatment and management techniques
ABSTRACT Acne in adult women is becoming more common and has a significant negative impact on their quality of life. The causes of acne in adult women are different and a therapeutic approach must be holistic and individualised. Propionibacterium acnes (P. acnes) antibiotic resistance is a topic of increasing frequency and establishing a regimen should be made in order to minimise the resistance of P. acnes.
VICTOR GABRIEL CLATICI, MD, is Assistant Professor of Dermatology at University of Medicine and Pharmacy, Carol Davilla, Bucharest, Romania
email:
claticiv@yahoo.com A 40
KEYWORDS Acne vulgaris, P. acnes, antibiotic resistance,
July/August 2014 |
prime-journal.com
CNE VULGARIS IS ONE OF THE LEADING CAUSES for visits to a dermatologist1
. costs of treatment and loss of productivity5
MORULT WOMENE COMMON AND MORE FRUSTRATING
, and because the age of
onset can be as early as 8 or 9 years of age and a substantial portion of patients also experience this condition in adulthood, addressing acne comorbidities and quality of life (QOL) is very important2, 3
The impact of the acne is deep and goes beyond the skin; respectively,
patients with acne have a higher rate of unemployment than matched controls4
Epidemiology, myths, and perceptions Women may develop acne for the first time, or redevelop acne, in their mid-to-late 20s6
adult female acne7, 8 . Acne is not
and at least $3 billion per year is lost in the direct and indirect .
and acne that develops after 25 years of age is defined as . Acne frequently continues into adulthood,
especially in women, and the mean age of patients who visit the dermatologist to seek treatment is approximately 24 years9 related to obesity10, 11 of diets12
— diets rich in high glycaemic index (HGI) foods such as pasta,
flour, bread and sugar. The common perceptions about the causes of acne, especially in
adults, relate acne to implications of stress, diet, skin hygiene and cosmetics, infection, exercise13
, and sunlight14, 15 .
It is a very common perception (but false perception) that acne is a consequence of being dirty16
development or exacerbation of acne vulgaris13, 17
and poor levels of hygiene lead to the .
but there is a connection through the westernisation
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