Treating Steroid AcneSteroids can worsen existing skin pathologies. Athletes being treated for acne often stop responding to normal treatment regimens if they steorid continue to use the drugs. While numerous side does anabolic steroid cause acne are attributed to the use of anabolic steroid drugs, does anabolic steroid cause acne sterod relatively does anabolic steroid cause acne. For instance, high-dose steroids can have adverse effects on liver and cardiovascular functions, though you rarely hear of bodybuilders and other athletes who suffer severe liver hcg testosterone therapy side effects cardiovascular complications while using them. Deaths directly attributable to steroids are even rarer. Medical literature by and large shows that steroid-induced medical abnormalities, such as lowered counts of protective high-density-lipoprotein cholesterol, as well as elevated liver enzymes, regress when anabolic steroid use ceases.
Anabolic Steroids and the Skin | Iron Man Magazine
Usually, acne is an inflammation of the oil glands in your skin and hair roots. A bacterium Propionibacterium acnes combined with other factors causes inflammation of the oil glands. Steroid acne has almost the same symptoms as typical acne.
But with steroid acne, systemic steroid use is what makes the oil sebaceous glands susceptible to inflammation and infection. The steroids may be prescription medications, such as prednisone , or body-building formulations. Another form of acne, known as malassezia folliculitis or fungal acne, is caused by a yeast infection of the hair follicles.
Like acne vulgaris, it can occur naturally or as the result of oral or injected steroid use. Both ordinary and steroid acne most often occur in adolescence, but can happen at any time of life. Steroid acne is different from steroid rosacea, which results from long-term use of topical corticosteroids.
Steroid acne most often shows up on your chest. Fortunately, there are several effective ways to eliminate chest acne. If the steroid acne is of the acne vulgaris type, the spots may be more uniform than with ordinary, non-steroid acne. If the steroid acne is of the fungal type malassezia folliculitis , most of the acne spots will be the same size.
Comedones whiteheads and blackheads are not usually present. Steroid acne appears in about 50 percent of people who use anabolic steroids in large doses for bodybuilding. The increasing use of corticosteroids after organ transplant surgery and in chemotherapy has made steroid acne more common. The steroid acne usually shows up after several weeks of treatment with prescribed steroids. The severity depends on the size of the steroid dose, the length of treatment, and your susceptibility to acne.
Although steroid acne usually appears on the chest, use of a mask in inhalation therapy for corticosteroids may make it more likely to show up on your face.
Together with the presence of the bacteria Propionibacterium acnes , the TLR2 receptors may play a role in bringing on an acne outbreak. The treatment for steroid acne, like that for ordinary acne acne vulgaris , involves the use of various topical skin preparations and oral antibiotics. Steroid-induced fungal acne malassezia folliculitis is treated with topical antifungals, such as ketoconazole shampoo, or an oral antifungal, such as itraconazole.
Oral antibiotics of the tetracycline group are prescribed for severe and some moderate cases of steroid acne, and for any case showing scarring. These include doxycycline, minocycline, and tetracycline.
These antibiotics kill the bacteria that aggravate acne and may also have some anti-inflammatory properties. Alternative antibiotics are prescribed for children under 8 years old. It can take four to eight weeks of regular antibiotic use before you see the effects of skin clearing.
The full response can take three to six months. People of color are more susceptible to scarring from acne outbreaks and may be advised to take oral antibiotics, even for a mild case. Because of the increased risk of antibiotic resistance and slow onset of action, specialists now discourage the use of topical antibiotics for acne. Benzoyl peroxide is a very effective antiseptic that helps to kill the acne bacteria and reduce inflammation. Benzoyl peroxide is available in many over-the-counter acne treatments.
For a mild case, your doctor may try to avoid use of oral antibiotics, and instead prescribe a type of skin preparation known as a topical retinoid. They work by helping production of healthy skin cells and reducing inflammation. Steroid acne, by definition, is caused by the use of steroids. Stopping or reducing the steroid use will help to eliminate the acne. If the steroids have been prescribed to prevent other serious consequences, such as rejection of a transplanted organ, there is no option to stop taking them.
Oily foods, some dairy products, and especially sugar may contribute to acne outbreaks. You may want to try an anti-acne diet. Cosmetics containing lanolin, petrolatum, vegetable oils, butyl stearate, lauryl alcohol, and oleic acid may also contribute to acne. Steroid acne is a common side effect of prescription corticosteroids, such as prednisone, as well as use of anabolic steroids in bodybuilding. Where possible, discontinuation of the steroid may clear up the outbreak. Otherwise, treatment with topical preparations, oral antibiotics, or antifungals should be effective.
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