Table 2.
Comparison Of Clinical Features Of Adult And Postmenopausal Acne2
| Clinical Features | Adult Acne | Menopausal Acne |
|---|---|---|
| Site | Mainly facial, mandible and chin truncal less frequent | Predominantly truncal, Can be panfacial |
| Severity | Moderate | Less |
| Types of lesions | Inflammatory papulo-pustules | Deep-seated inflammatory papules or nodules with a predominant perioral distribution |
| Comedones | May be present | Macrocomedones are commoner |
| Inflammatory papules | Common | Rare |
| Scarring | Common | Depends on severity of lesions |
| Sebum production | Increased | Can be increased |
| Treatment response | Resistant | Resistant |
| Other hyperandrogenic features | Less severe | Hirsutism, androgenetic alopecia, voice change more common |
| Associated with Photo ageing | Rare | Common |
| Stress/Depression | Less severe | More severe |
Notes: Adapted from: Khunger N, Kumar C. A clinico-epidemiological study of adult acne: is it different from adolescent acne? Indian J Dermatol Venereol Leprol. 2012;78(3):335–341.2 Copyright © 2012, Wolters Kluwer Medknow Publications.