Adult Female Acne and Eczema Management: A Case-Based Dermatology Approach in Katy & Houston, Texas
Adult acne is a common and often frustrating condition, particularly for women in their 30s and 40s. At Reena Jogi, MD, we frequently see patients who have tried multiple treatments but continue to experience persistent breakouts along with other inflammatory skin conditions such as eczema. This case highlights a thoughtful, personalized approach to managing moderate adult female acne and eczema, while also addressing long-term skin health and cosmetic concerns.
Patient Overview
A 43-year-old female presented as a new patient with concerns of moderate facial acne, described as inflammatory pimples and comedonal breakouts. She was previously using dapsone 5% gel and had undergone photodynamic therapy (PDT) with another dermatologist. She also reported prior Fagron acne testing, which we discussed does not determine the underlying cause of acne-prone skin.
In addition, the patient reported a chronic eczema flare on the right leg, consistent with atopic dermatitis.
Dermatologic Examination
A focused skin examination was performed, including:
Scalp and hair inspection
Face and facial skin
The patient appeared well-developed, well-nourished, and in no acute distress. A dermatoscope was used to evaluate acne lesions and background skin changes. Findings included inflammatory papules, pustules, and comedonal acne distributed across the face, consistent with acne vulgaris (L70.0).
Acne Treatment Discussion and Plan
During the visit, we reviewed a broad range of evidence-based acne treatment options, including:
Topical therapies
Oral antibiotics
Spironolactone for hormonal acne
Isotretinoin (Accutane) for refractory cases
We also discussed cosmetic and procedural options commonly used in adult acne management:
Chemical peels
Intralesional steroid (ILK) injections for flares
Microneedling
Red and blue light therapy
Hydrafacials
Continued PDT treatments
After reviewing risks, benefits, and expectations, the patient elected to:
Continue dapsone 5% gel
Continue PDT treatments
Add Alastin AlphaRET to her skincare regimen to support acne control and skin renewal
Acne Counseling and Skincare Guidance
The patient received detailed counseling on acne as a chronic condition, including:
Expectation of 2–3 months for visible improvement
Risk of scarring if inflammation persists
Importance of consistent, non-comedogenic skincare
Recommended cleansers:
Cetaphil Oil Control
CeraVe Foaming Cleanser
SkinMedica AHA/BHA Cleanser
Neutrogena Oil-Free Acne Wash
Recommended moisturizers and SPF:
CeraVe PM
Cetaphil Oil Control
EltaMD UV Clear
Patients are advised to contact our office if acne worsens, fails to improve, or if new scarring or cystic lesions develop.
Eczema Evaluation and Management
The patient was also diagnosed with eczema (L20.89) on the right leg. We discussed the chronic, relapsing nature of eczema and the importance of maintaining the skin barrier.
Eczema treatment plan included:
Gentle, fragrance-free skincare
Frequent emollient use (2–3 times daily)
Avoidance of scented detergents and fabric softeners
Short, lukewarm showers
Prescription treatment:
Triamcinolone acetonide 0.1% cream, applied twice daily for up to two weeks during flares
Potential side effects of topical steroids—including skin thinning and pigment changes—were reviewed in detail.
Personalized Dermatology Care in Katy and Houston, Texas
This case highlights the importance of a customized dermatology approach for adult women dealing with acne and eczema. At Reena Jogi, MD, we combine medical dermatology, advanced skincare, and cosmetic options to help patients achieve clearer, healthier skin.
If you’re struggling with adult acne, eczema, or chronic skin concerns, our practice proudly serves patients throughout Katy, Houston, and surrounding Texas communities.
