Doping acne L70.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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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) and whey proteins. These products are used in 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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After ingestion it can cause seborrhea, striae distensae, gynecomastia, hypertrichosis, hirsutism, androgenetic alopecia, seborrheic eczema, furunculosis and reduction of testicular volume.

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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  • In the case of a simultaneous alcohol abuse also think about psychological treatment!
  • Long-term abuse increases the risk of cardiovascular toxicity (sudden cardiac death), aggressiveness and depression.
  • Internalised addictive behaviour also increases the risk of opiate addiction!

Therapy
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  • Immediate maternity leave
  • Therapy of the existing 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. 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: 29.10.2020