Prevalencia del síndrome de ovario poliquístico en mujeres colombianas con acné en la etapa adulta

Introduction: Adult female acne (AMA) is an inflammatory disease of the pilosebaceous follicle that occurs after the age of 25 years. Its prevalence has increased in recent years, and it has been associated with endocrine diseases such as polycystic ovary syndrome (PCOS). The aim is to determine the prevalence of clinical and biochemical polycystic ovary syndrome in Colombian women with acne in adulthood treated in the dermatology and endocrinology services. Materials and methods: Cross-sectional descriptive and observational study. We included women seen in the dermatology and endocrinology clinic at two private clinics in Bucaramanga, Santander, during 2021. Demographic, clinical, laboratory, and diagnostic data were collected through electronic medical records and from those who attended outpatient clinics. Results: 169womenwithacnewere included, withameanage of 32.14±5.62 years. 44.97%of thewomenpresented with acne for the first time after the age of 25, 34.91% persisted since adolescence, and the remaining 20.11% reappeared. 86.39% presented inflammatory acne, preferably on the face, followed by the back and anterior chest. Acne severity was mild in 53.90%. The prevalence of PCOS was 62.13%, where phenotype A predominated. Conclusions: Acne in adult women is a marker of hyperandrogenism, with PCOS being the most frequent cause (6 out of 10). Therefore, a systematic study of PCOS in adult women who consult for acne is suggested.