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| 1/2020 Opis przypadku Agnieszka M. Czernecka 1 , Aleksandra Batycka-Baran 2
Dermatol Rev/Przegl Dermatol 2020, 107, 63-68 Data publikacji online: 2020/03/30 Plik artykułu: - Acne.pdf[0.19 MB] ENWEndNoteBIBJabRef, MendeleyRISPapers, Reference Manager, RefWorks, Zotero AMA APA Chicago Harvard MLA Vancouver IntroductionAcne vulgaris is one of the most common skin diseases. It occurs in 80–100% of the population. This skin disorder significantly decreases patients’ quality of life [1]. The pathogenesis of acne is highly complex. The main pathogenetic factors are connected to abnormal keratosis of hair follicle ostia, presence of the saprophytic bacterium Propionibacterium acnes and an incorrect response of the immune system of the skin. The excessive activity of sebaceous glands controlled by androgens – testosterone and dihydrotestosterone – is another key factor that contributes to the development of the disorder, which does not occur in eunuchs [2–5]. ObjectiveThis article presents a psychodermatological case of a young man with suspected bigorexia that most likely led to the patient’s use of anabolic drugs, consequently resulting in the development of acne fulminans in the patient. Case reportA 21-year-old physical worker reported to the Department of Dermatology in Opole with suspected acne fulminans. Skin lesions had appeared about 2 months after the patient started to use anabolic agents in combination with intensive exercises at the gym in order to develop muscle mass. Initially, the patient had not agreed to be referred to a hospital, which he explained, among other things, by the need to continue taking hormones. Due to significant testosterone level abnormalities (exceeding the normal level by about a dozen-fold) and absence of results of tests necessary to undertake isotretinoin treatment, lymecycline at a dose of 2 × 300 mg/day was prescribed on an outpatient basis. Afterwards, the patient decided to undergo hospital treatment. DiscussionThe patient described above is a complex case from the field of psychodermatology, a discipline that deals with the relationship between psychiatric, psychological and dermatological symptomatology. Estimates indicate that up to 60% of patients with skin diseases have various disorders: depressive, anxious and other [7]. ConclusionsThe key to the therapeutic success of the patient described above is the close cooperation of the dermatologist, psychiatrist and the patient, whose attitude towards the problem of taking androgens is not rational. It is also important to draw the attention of teachers, gym owners and the general media to the problem of bigorexia and the harmfulness of anabolic use. An unnaturally muscular body in men should not be promoted. Conflict of interestThe authors declare no conflict of interest. References/PiśmiennictwoSzepietowski J., Kapińska-Mrowiecka M., Kaszuba A., Langner A., Placek W., Wolska H., et al.: Acne vulgaris: pathogenesis and treatment. Consensus of the Polish Dermatological Society. Przegl Dermatol 2012, 99, 649-673. Copyright: © 2020 Polish Dermatological Association. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (http://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license. | POLECAMY KSIĄŻKI • Atopowe Zapalenie Skóry• Alergologia – kompendium Indeks osobowy |
Pełny tekst: Trądzik piorunujący u pacjenta z podejrzeniem bigoreksji, Agnieszka M. Czernecka (2024)
Table of Contents
Agnieszka M. Czernecka 1 , Aleksandra Batycka-Baran 2
Introduction
Objective
Case report
Discussion
Conclusions
Conflict of interest
References/Piśmiennictwo
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