Women and Cystic Acne
In women and cystic acne, women cystic acne is found to be one of the features of hyperandrogenism  women with acne have been found to have elevated plasma androgens and this identification of endocrine abnormality in women with acne may potentially offer an opportunity for hormone therapy .
In a study it was found that lowering elevated dehyroepiandrosterone sulfate results in improvement of acne . The treatment with anti-androgen using high dose of cyproteroneacetate (CPA) with ethinlyoestradiol showed that addition of CPA to oesterogen add significantly to therapeutic effect in acne and anti-androgen and oesterogen combination is more effective [114(6)].
Women with cystic acne are found to be common in polycystic ovaries [0340-3696]. Polycystic ovary syndrome (PCOS) is a common endocrine disorder characterized by chronic anovulation and hyperandrogenism. PCOS is one of the leading causes of infertility, hirsutism, acne and obesity in women [[88(12)].
Treating women with cystic acne using (Yasmin) Drospirenone/ehinyl estradiol is a unique oral contraceptive with antiandrogenic and antimineralocorticoid properties. Isotretinoin (Accutane) a systemic retinoid is the only oral drug suggested for cystic acne in women but this drug has been reported with side-effects resulting in depression and also causing birth defects in pregnant women.
Photodynamic therapy is found to be the alternative therapy for cosmetic applications [18(3)] but it has been found to have adverse reactions. Recently phototherapy, a low energy pulsed therapy has been used and seems to be a promising alternative.
In women with cystic acne leading to acne scarring, a successful method of dermaplaning using a graft skin is developed [1453-0130].
Phototherapy and dermaplaning are the emerging successful alternative treatments to treat cystic acne and acne scarring [5(4)] in women.
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