Schmitt Juliano Vilaverde, Masuda Paula Yoshiko, Miot Hélio Amante
Fundação Pró-Hansen, Curitiba, PR, Brasil.
An Bras Dermatol. 2009 Jul-Aug;84(4):349-54. doi: 10.1590/s0365-05962009000400005.
Acne is a frequent skin disease that occurs in both sexes and all age-groups. Women present several clinical disease patterns; moreover, persistence after adolescence is common.
To analyze clinical and epidemiological characteristics associated with different age-groups affected by acne in women.
Cross-sectional study involving female patients diagnosed with acne, at a general dermatology outpatient clinic. Variables related to disease and patients were assessed through a standardized questionnaire.
One hundred and three women were assessed. The average age of patients at the time of the consultation was 21.7 +/- 7.3 years. Two groups were defined (cut-off age of 21 years), with means of 15.8 +/- 2.3 and 28.0 +/- 5.1 years. There was correlation between disease duration and current age (R=0.7). There were group differences among frequencies of covariables: combined oral contraceptive (OR=48.1), lesions located on upper chest (OR=11.6), lesions on upper dorsum (OR=0.2), predominance on upper half of face (OR=0.1) and age at disease onset (OR=1.8). Among adult women, 80% reported acne onset before 20 years of age.
Chronologic and topographic patterns of female acne in different age-groups were defined, reinforcing the importance of an individualized diagnostic and therapeutic approach.
痤疮是一种常见的皮肤疾病，在男女各年龄段均有发生。女性呈现出多种临床疾病模式；此外，青春期后持续存在也很常见。
分析女性痤疮患者不同年龄组相关的临床和流行病学特征。
在普通皮肤科门诊对诊断为痤疮的女性患者进行横断面研究。通过标准化问卷评估与疾病和患者相关的变量。
评估了103名女性。就诊时患者的平均年龄为21.7±7.3岁。定义了两组（分界年龄为21岁），平均年龄分别为15.8±2.3岁和28.0±5.1岁。病程与当前年龄之间存在相关性（R = 0.7）。协变量频率存在组间差异：复方口服避孕药（OR = 48.1）、上胸部皮损（OR = 11.6）、上背部皮损（OR = 0.2）、面部上半部分为主（OR = 0.1）以及发病年龄（OR = 1.8）。在成年女性中，80%报告痤疮在20岁之前发病。
明确了不同年龄组女性痤疮的时间和部位模式，强化了个体化诊断和治疗方法的重要性。
