Acne in adult women and the markers of peripheral 3 alpha-diol G activity

Autor:	Marisa Gonzaga da Cunha, Fernando Luiz Affonso Fonseca, Carlos D’Aparecida Santos Machado Filho, Beatriz da Costa Aguiar Alves, Fernando Adami, Ligia Ajaime Azzalis, Carolina P Martins
Rok vydání:	2016
Předmět:	Adult Cholestenone 5 alpha-Reductase Hirsutism medicine.medical_specialty Adolescent Physiology 030209 endocrinology & metabolism Dermatology Disease Severity of Illness Index Young Adult 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Internal medicine Acne Vulgaris Severity of illness Humans Medicine Prospective Studies Young adult Prospective cohort study hirsutism Acne business.industry Puberty Age Factors medicine.disease Androstane-3 17-diol Endocrinology business Biomarkers Hormone Androstanediol glucuronide
Zdroj:	Journal of Cosmetic Dermatology. 15:330-334
ISSN:	1473-2130
DOI:	10.1111/jocd.12232
Popis:	Summary Background Acne in adult women is a frequent hard-to-manage disease with many relapse cases. It mostly interferes with the quality of life of patients, bringing them major metabolic and social losses. As androgenic hormones play a very important role in the acne pathogenesis, the early diagnosis of hyperandrogenic states is very useful for the proper evaluation of each patient and for a better choice of therapeutic management. Defining a pattern for laboratory profile analysis is important for the control of relapses of acne breakouts in adult women, which lately has been the aim of many published studies. Aim To establish the relation between 3 alpha-diol G levels and acne in female patients with normal androgenic status without menstrual dysfunctions. Patients/Methods The evaluation of serum 3 alpha-androstanediol glucuronide levels through an enzymatic immunoassay method (Androstanediol Glucuronide ELISA Kit) for a direct quantitative measurement in 26 patients with grade II and III acne, ages ranging from 13 to 50. Results Among the analyzed patients, 83% had grade II acne, and among this total, 60% were aged 14 or over. According to age, 12 studied patients showed serum 3 alpha-diol G levels within normal range and 11 patients had increased levels. Conclusions A total of 60% of adult women with acne present increased levels of androgens and among those with normal levels and without menstrual dysfunctions, 50% show an increase in 3 alpha-diol G. Therefore, a pharmacological approach with anti-androgenic drugs for acne therapy in most of these patients is advisable.
Databáze:	OpenAIRE
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