Acne tarda L70.9

Acne beyond the age of 25.

w>m; in most cases, acne has been present since adolescence and persists into adulthood. In some patients, this form of acne occurs without preceding pubertal acne. Special forms are acne during pregnancy or after discontinuation of contraceptives (postcontraceptive acne) as well as peri- and postmenopausal acne.

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.

e.g. low-dose isotretinoin therapy; locally azelaic acid is suitable.

see also under acne

Endocrinological diagnostics to exclude hyperandrogenemia (exclusion of "polycystic ovary syndrome" - PCOS) and insulin resistance should be performed.