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Adult Acne

Hormones that caused breakouts in your teens can cause them again in adulthood. Menstruation, pregnancy, and certain oral contraceptives can also spur a breakout of pimples. In adulthood, zits are more likely to appear on your jawline, neck, and cheeks in addition to your T-zone.

The fix: Your doctor may prescribe topical medication along with oral antibiotics, Accutane, birth control pills, or spironolactone, a hypertension drug often used off-label to treat acne. (Those last two lower or block acne-causing androgens — male hormones that women produce too.)

Lupus

If the redness on your face forms a butterfly-shaped rash across your nose and cheeks, you might want to get tested for lupus, an autoimmune disease that affects about 1.5 million to 2 million people and causes inflammation in various parts of the body, leading to achiness, low-grade fever, and extreme fatigue.

The fix: Treating the disease — with anti-inflammatories, corticosteroids, topical steroids, and/or immune suppressants — usually eliminates the rash.

Perimenopause

As early as your mid-30s, you may start having symptoms of menopause such as hot flashes, which cause facial redness.

The fix: Try putting a cool, damp cloth on your neck. If the flashes are severe, you can also talk to your doctor about treatment options like hormone replacement therapy.

Originally published on September 9, 2008

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