Acne, steroid acne. general view: For 4 months persistent, disseminated, 1-4 mm large, reddish papules in a 20-year-old patient who has been systemically treated with glucocorticoids for years because of an underlying vasculitic disease. dose at first manifestation of the skin changes: 40 mg prednisolone p.o.
Acne, steroid acne. detail magnification: Disseminated, 1-4 mm large, reddish papules in a 20-year-old patient under continuous peroral steroid therapy
Acne, steroid acne. reflected light microscopy without contact medium (section: jaw angle region in a 30-year-old bodybuilder): multiple, hypertrophic sebaceous gland follicles with central, keratotic plugs within the ostia, hypertrichosis, transparent horny layer due to corticosteroid-induced hypokeratosis, parallel striated distortion of the skin field lines due to increased transepidermal water loss as well as an ectatic subepidermal vascular network without point capillaries (years of abusus of corticosteroids and anabolic steroids).
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