»	Acne
»	What is acne?
	»	Increased sebum production
	»	Follicular plugging
	»	Increased bacterial activity and resulting inflammation
	»	Acne conglobata and acne fulminans
	»	Scarring
		»	Treatment for scarring
»	Who gets acne and distribution
	»	Impact of genetics
	»	Infantile acne
	»	Acne in middle age
»	Treatments
	»	General guidance on using treatment
	»	Topical treatments
	»	Topical retinoids
	»	Benzoyl peroxide
	»	Azelaic acid
	»	Nicotinamide
	»	Topical antibiotics
	»	Moderate acne
		»	Oral antibiotics
		»	Hormonal therapies
	»	Severe acne
		»	Isotretinoin
		»	Side effects
		»	Monitoring
		»	Relapse
		»	Supporting patients who are taking isotretinoin
	»	Newer treatments with less evidence
		»	Photodynamic therapy
»	Psychological impact
»	Conclusion
»	References

Acne in middle age

Although teenagers usually grow out of acne, for some it does persist into middle age, for others acne appears for the first time in middle age.