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Chiara: Acne after 30 (Chapter 5; Case Study)

  • In women acne (acne vulgaris) can persist even after teenage years are long gone. Lab tests are then done and often nothing wrong is found. Then comes the problem of giving an oral anti-androgen contraceptive or oral isotretinoin when pregnancy is sought.
  • There are differences of acne in men and in women and psychological factors can’t explain them although an approach by psychoanalysis is used in Chiara, 31, who has nodulocystic acne on non-oily skin. In three years of therapy, her skin will become smooth and clear of lesions.


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