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Suggest treatment for cystic acne

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Posted on Mon, 1 Jun 2015
Question: If you have cystic acne due to Hasimoto's, how do you treat it?
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Answered by Dr. Shehzad Topiwala (1 hour later)
Brief Answer:
Acne

Detailed Answer:
To the best of my knowledge of published medical literature, there is no known connection between acne and Hashimoto's.

Even cystic acne have not been reported in individuals who have Hashimoto's.

The thyroid auto-antibodies present in Hashimoto's, such as anti-TPO (thyroid peroxidase) and anti-thyroglobulin, are not known to have any direct effect on the skin.

When a person who is positive for these antibodies develops 'hypothyroidism' ie an under-active thyroid, then it can affect the skin.

In order to know if a person has Hypothyroidism, a blood test for TSH should be ordered, preferably along with a Free T4. If the TSH is abnormally high, especially with a low Free T4 then a diagnosis of hypothyroidism can be made.

Those who have hypothyroidism can experience the following skin-related changes. But as you will see , o acne/cystic acne have been directly connected to Hashimoto's nor to hypothyroidism.

1 Skin can be cool and pale because of decreased blood flow. A characteristic dry roughness of the skin may occur.

2 Sweating is decreased

3 Changes in skin color may occur. A yellowish tinge may be present.

If Hashimoto's is associated with a rare condition called Addison's disease, then skin may become darker.

4 Hair may be coarse, hair loss is common, and the nails become brittle.

5 The feet, and the body in general, can appear swollen, in severe hypothyroidism

6 Vitiligo (white patches on skin) and alopecia areata (discrete hair-less patches on skin) may be present in patients with hypothyroidism after treatment of Graves' hyperthyroidism.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Suggest treatment for cystic acne

Brief Answer: Acne Detailed Answer: To the best of my knowledge of published medical literature, there is no known connection between acne and Hashimoto's. Even cystic acne have not been reported in individuals who have Hashimoto's. The thyroid auto-antibodies present in Hashimoto's, such as anti-TPO (thyroid peroxidase) and anti-thyroglobulin, are not known to have any direct effect on the skin. When a person who is positive for these antibodies develops 'hypothyroidism' ie an under-active thyroid, then it can affect the skin. In order to know if a person has Hypothyroidism, a blood test for TSH should be ordered, preferably along with a Free T4. If the TSH is abnormally high, especially with a low Free T4 then a diagnosis of hypothyroidism can be made. Those who have hypothyroidism can experience the following skin-related changes. But as you will see , o acne/cystic acne have been directly connected to Hashimoto's nor to hypothyroidism. 1 Skin can be cool and pale because of decreased blood flow. A characteristic dry roughness of the skin may occur. 2 Sweating is decreased 3 Changes in skin color may occur. A yellowish tinge may be present. If Hashimoto's is associated with a rare condition called Addison's disease, then skin may become darker. 4 Hair may be coarse, hair loss is common, and the nails become brittle. 5 The feet, and the body in general, can appear swollen, in severe hypothyroidism 6 Vitiligo (white patches on skin) and alopecia areata (discrete hair-less patches on skin) may be present in patients with hypothyroidism after treatment of Graves' hyperthyroidism.