For many years over thirty Mature, even the mother of two children, talk about the long past puberty, you can still "whelk" distress, worse, are concentrated in the face, it was said with a smile that is middle-aged pox, friends often laugh these patients rejuvenate, really annoying.
Venus Kaohsiung hospital dermatology physician Kid pointed out that the occurrence of acne and more start in adolescence, with increasing age, especially after the age of 30, usually gradually ease, but about 30% of women after the age of 30 easy to acne, or minor early age is even more serious, acne in their thirties and forties who called the "middle-aged pox.
Patterns of middle-aged pox and acne is not the same, the distribution is usually dominated in the second half of the face, especially around the mouth, including the chin, jaw and even the neck, mostly inflamed papules and pustules and even lump or cyst on his forehead acne few. Many of these patients will complain that the face is easy to a large number of oil, that is, the so-called "seborrheic", menstruation irregular, and the other to determine the focus is middle-aged pox suddenly short period of time 3-5, and up pops a push acne, which is also different with adolescent acne, middle-aged chicken pox because of pressure, and even some patients with the phenomenon of head or forehead alopecia.
Kid pointed out that the occurrence of middle-aged pox by the influence of male hormones, a small number of female patients may have on the ovary or adrenal problems, very few or even because of the relationship of the tumor. Most patients blood tests are normal, the problem lies in the skin itself synthesize excessive male hormone, male hormone inhibitor in the treatment plays a very important role.
But there are other physicians that middle-aged pox under pressure because the pressure caused by hormone secretion disorder, but in the end because of the problems on the organ, or pressure, may also need more scientific research evidence in order to clarify.
The general acne is the use of antibiotics to treat middle-aged pox treatment to take oral antibiotics less effective for traditional, oral steroids or smear A acid treatment was better. And the other for drugs that suppress the male hormone is contained spironolactone, usually taking a month later, will feel the face out of fuel significantly reduced, about three months after the acne can be an ideal control. However, about 15% of patients taking this drug, will initially produce irregular menstrual periods or menstrual quantitative, change the situation, if necessary, coupled with oral contraceptives to improve.
Other male hormone antagonistic effect of oral contraceptives, but not all birth control pills can be used to treat acne, especially the first generation of oral contraceptives, but will make acne worse. The most specific and use the most long-standing "Diane-35", the last so-called third-generation oral contraceptives have a good effect, for mild to moderate acne. The small number of patients with more serious could be considered to treat the male hormone receptor antagonist flutamide.
It is worth noting, however, whether taking what class of drug, the treatment time to last at least three months in order to achieve the desired long-term efficacy.
Next we introduce the acne whole series of articles
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