Doping acne L70.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 23.07.2022

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Synonym(s)

Acne; Acne of the bodybuilders; Body-building acne; Bodybuilding acne

Definition
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Acne induced by abuse of anabolic-androgenic steroids (AAS) as well as whey proteins. These products are taken around the bodybuilder and fitness scene.

Occurrence/Epidemiology
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Up to 50% of all AAS users develop doping acne.

Manifestation
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Seborrhea, striae distensae, gynecomastia, hypertrichosis, hirsutism, androgenetic alopecia, seborrheic eczema, furunculosis as well as decrease in testicular volume may occur after intake.

Clinical features
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Strongly pronounced seborrhoea.

Development of Acne vulgaris, Acne papulopustulosa, Acne conglobata or Acne fulminans possible.

Differential diagnosis
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Drug-induced acneiform exanthema (e.g. through vitamin B, lithium salts, glucocorticoids, tetracyclines).

Complication(s)
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If alcohol abuse is present at the same time, also consider psychological treatments!

Long-term abuse increases the risk of cardiovascular toxicity (sudden cardiac death!), aggressiveness, depression.

Internalised addictive behaviour also increases the risk of opiate addiction!

Therapy
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Immediate abstinence.

Therapy of the present forms of acne.

Note(s)
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Iatrogenic doses of testosterone to inhibit excessive testicular growth can also lead clinically to doping acne.

Literature
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  1. Huang G et al. (2018) Do anabolic-androgenic steroids have performance-enhancing effects in female athletes? Mol Cell Endocrinol 464:56-64.
  2. Melnik B et al. (2007) Abuse of anabolic-androgenic steroids and bodybuilding acne: an underestimated health problem. J Dtsch Dermatol Ges 5: 110-117.


Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 23.07.2022