Can hypothyroidism and congenital adrenal hyperplasia cause persistent acne?
I'm aware I am Hypothyroid and taking 100 MCG Thyronorm to control my TSH Levels.
I visited a Dermatologist recently for my persistent acne condition running from teenage days. I am 33 currently.
Dermatologist suggested a battery of tests which I got done and on the basis of which he has said i am not currently diabetic but I am Insulin Resistant , also I have some adrenal issue and possibly may or may not Non Congenital Adrenal Hyperplasia.
Before starting any treatment I want to have a better understanding of my health issues with respect to my attached reports along with your opinion along with its management.
Kindly help me with the same.
Nothing abnormal apart from thyroid condition.
Sorry to say that you have done too many expensive unnecessary investigations.
Almost all of them are quite normal apart from your thyroid disease.
Your fasting and post food blood sugar level are with in normal limits. Your HB1C level (parameter used to assess the three-month average blood glucose concentration) also normal.
So no need to worry about diabetes.
Your thyroid antibodies are elevated and it implies that you have autoimmune hypothyroidism For that you might need an opinion from an endocrinologist. All other parameters are within a normal level and no need to worry as of now.
Hope I have answered your query. Let me know if I can assist you further.
Thanks for the reply.
I have some further concerns :
1. My blood fasting in the first page of my report i.e. GLUCOSE FASTING PLASMA is 91 , and 100 is the top reference limit which is nearing the 100 mark. Does it indicate pre-diabetes risk as indicated by treating dermatologist and sign of insulin resistance.
2 .What does on the second page of my report i.e. Dehydro-EPIANDROSTERONE Sulphate Serum rise indicate ?
3. What does on the third page of my report i.e. Androstenedione serum rise indicate ?
Are these raised values causing any impact on acne.
Thanks for the followup.
1. It is in the normal range and so nothing to suggest insulin resistance or diabetes. Also, your HbA1C is also normal.
2 and 3. These are steroid hormones secreted by the adrenal gland. These are sex hormones and it might be the reason for your acne.
These are mildly elevated and thus are not significant except that of acne. It's not suggestive of the adrenal disease.
If it is highly elevated, we can think of adrenal causes. If you are so much worried you can seek an opinion from an endocrinologist.
Hope I have answered your query.
Dr Shinas Hussain, General & Family Physician
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