A 18-year-old male with acne visits the office. The patient has had minor facial acne for the previous three years, which has responded effectively to topical medications. His acne has gotten worse and spread to his neck and torso since he began college two months ago. It has gotten worse despite using topical medications. The guy practices outside for several hours three days a week because he is a baseball player for the university team. Additionally, he spends many hours each week swimming in an indoor pool. The patient has followed a dairy-free, low-glycemic-index diet since beginning college. Physical examination shows severe, nodulocystic acne on the face, neck, chest, and back. Which of the following most likely caused this patient's worsening acne?

Question

A 18-year-old male with acne visits the office. The patient has had minor facial acne for the previous three years, which has responded effectively to topical medications. His acne has gotten worse and spread to his neck and torso since he began college two months ago. It has gotten worse despite using topical medications. The guy practices outside for several hours three days a week because he is a baseball player for the university team. Additionally, he spends many hours each week swimming in an indoor pool. The patient has followed a dairy-free, low-glycemic-index diet since beginning college. Physical examination shows severe, nodulocystic acne on the face, neck, chest, and back.  Which of the following most likely caused this patient's worsening acne?

Quizplus · Accepted Answer

Eductional Objective: Androgens encourage excessive sebum production and follicular epidermal hyperproliferation, which aids in the development of acne. Acne is a well-known side effect of androgenic steroid use, particularly in competitive athletes.

A 18-Year-Old Male with Acne Visits the Office