A 22-year-old woman is evaluated in the office due to progressive acne on her face, chest and back. Her acne has worsened over last month. The patient was recently diagnosed with iron deficiency anemia due to abnormal uterine bleeding and began taking a combined oral contraceptive and an iron supplement. She has been training for a half-marathon for the past 4 months and has lost 6.8 kg (15 lb) during this period. She does not use tobacco, alcohol, or illicit drugs. Vital signs are within normal limits. Physical examination shows acneiform eruptions on the shoulders and mid-back. Which of the following is most likely contributing to worsening of this patient's acne?

Question

A 22-year-old woman is evaluated in the office due to progressive acne on her face, chest and back. Her acne has worsened over last month. The patient was recently diagnosed with iron deficiency anemia due to abnormal uterine bleeding and began taking a combined oral contraceptive and an iron supplement. She has been training for a half-marathon for the past 4 months and has lost 6.8 kg (15 lb) during this period.  She does not use tobacco, alcohol, or illicit drugs. Vital signs are within normal limits.  Physical examination shows acneiform eruptions on the shoulders and mid-back.  Which of the following is most likely contributing to worsening of this patient's acne?

Quizplus · Accepted Answer

Eductional Objective: Risk factors for acne include increased androgen levels; obstruction of pilosebaceous glands by oil-based hair products; and mechanical irritation of skin follicles.  Sports participation frequently triggers acne due to the use of tight-fitting clothing and protective gear.

A 22-Year-Old Woman Is Evaluated in the Office Due to Progressive