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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Reason For Sudden And Severe Acne Breakout On Face?

i am 30 yrs old, For the past three years i have been experiencing severe hair loss ad thinning. Recently it got worse. i always had acne as well (i used to break out before my period). But now i am getting acne like a teenager. My face is covered with acne scars. I get my period every other month. i also have hair growing underneath my chin area. This is the first time i have noticed something like this. My skin and scalp is oily and itchy. i shed most hair a week before and during my period. And i also get tonsilitis, headache and severe dry cough around this time. My pillow, blanket, and entire room is covered with hair. i had blood work done last year and my doctor said my TSH, FSH, LH were all normal. At least thats what she told me. she also thinks i have no problem. I was working with a gynocologist and he told me i may have hirsutism.

i do have a lot of stress in my life. i dont sleep properly but i doubt stress alone can cause sudden severe hair loss. I have never been pregnant. when i was 18, my family physician told me i had PCOS cause my LH:FSH ratio was off. She put me on birth control for three months and aske dme to lose weight which i did. And after that she told me i was fine. Currently besides severe acne and hair loss, i have no other significant health problems. i am not taking any OCP, prescribed medication or vitamins now. So, please can anyone offer some advice as to why this is happening to me.
Wed, 18 Dec 2013
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Dermatologist 's  Response
Hi,

I can understand your concern for the pimples a in yourself.

Acne or pimples are youth related problem and is not a disease per say. I can understand your concern of acne or pimples. You have not mentioned your age, sex and marital status.

You can use Clindamycin gel 1% for topical application form. There is no harm in using it. It contains topical antibiotic gel and oral antibiotic and do not cause any side effects.

You may need hormonal treatment to regulate the imbalance of the hormones properly. An endocrinologist advice would be worth in your case in term of cyproterone or spironolactone medicines.

Take a proper follow up with a good dermatlogist so that all the problem of acne can be dealt best for future time along with hormonal imbalnces.

Take care
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What Is The Reason For Sudden And Severe Acne Breakout On Face?

Hi, I can understand your concern for the pimples a in yourself. Acne or pimples are youth related problem and is not a disease per say. I can understand your concern of acne or pimples. You have not mentioned your age, sex and marital status. You can use Clindamycin gel 1% for topical application form. There is no harm in using it. It contains topical antibiotic gel and oral antibiotic and do not cause any side effects. You may need hormonal treatment to regulate the imbalance of the hormones properly. An endocrinologist advice would be worth in your case in term of cyproterone or spironolactone medicines. Take a proper follow up with a good dermatlogist so that all the problem of acne can be dealt best for future time along with hormonal imbalnces. Take care