Adult Women With Acne

by Stephen Schleicher, MD

We usually associate acne with teenagers. Surprise; adults can be afflicted as well, sometimes quite severely. In my practice many adults with acne are treated on a weekly basis and the number is increasing. Catching up on my dermatology journals, I came across an article titled: “What Matters the Most to Adult Women with Acne?” The authors (two from Penn State University) reviewed a study of 50 women who were asked questions about how acne affected their lives. Given that acne is visible to others, the findings are not unexpected.

To quote from the review: “women reported that their acne led to concerns about their appearance and their mental and emotional health. Many reported that they were perceived differently as a result of their acne, which contributed to disruption in their personal and professional lives……themes of depression, anxiety, and social isolation were commonly reported.”

The good news is that virtually everyone with acne can be helped and, for those most severely afflicted, even cured. Minor cases may respond to over-thecounter remedies such as benzoyl peroxide and adapalene (Differin) gels. Oral antibiotics are often required for control of persistent cases and may be combined with birth control pills or spironolactone, a medication that helps modify response to hormones that contribute to pimple formation. Isotretinoin (formerly known as Accutane) is a wonder drug capable of taming even the most problematic cases. Untreated, severe acne can result in permanent scars. Even barely visible pimples can trigger depression and loss of esteem. Breaking out? A visit to your dermatologist is a wise decision.