Acne tarda L70.9

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

acne adultorum; adult acne

Definition
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Acne beyond the age of 25.

Manifestation
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w>m; in most cases acne has existed since adolescence and continues into adulthood. In some patients, this form of acne occurs without a preceding puberty acne. Special forms are acne during pregnancy or after discontinuation of contraceptives (post-contraceptive acne) and peri- and postmenopausal acne.

Clinical features
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Emphasis on the edges of the lower jaw and the chin, less intense on the lower cheek and the perioral region. Inflammatory papules and pustules with closed and open comedones are found in seborrhoeic skin. Deep-seated nodules are more rarely found. Traces of manipulation are frequently found. Mostly a worsening of the symptoms is indicated in case of menstration. Mixed pictures with rosacea and perioral dermatitis may exist.

Therapy
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Low-dose isotretinoin therapy; locally azelaic acid is suitable.

Note(s)
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An endocrinological diagnosis to exclude hyperandrogenemia (exclusion of a "Polycystic ovary syndrome" - PCOS) and insulin resistance should be performed.

Outgoing links (1)

Polycystic ovarian syndrome;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020