Board thesis at the University of Basra - College of Medicine discussed a comparison of the emergence of acne vulgaris between adolescent and adult Iraqi women. The thesis presented by student Ahmed Hamdan Ghadban aims to compare clinical, epidemiological, and laboratory criteria of different groups of acne vulgaris in Iraqi women and suggest an age of onset based classification. The thesis concluded that clinical and biochemical evidence of hyperandrogenism and polycystic ovary was more frequent in early adult-onset acne and post-adolescent acne groups than in adolescent acne. Early adult-onset acne patients had lower clinical signs of hyperandrogenism than post-adolescent acne and more biochemical hyperandrogenism than adolescent acne and might be an intermediate state between the two poles of the acne spectrum.