clitoromegaly deepening of voice breast atrophy Systemic virilization Site Androgen-secreting tumours

Face Upper trunk

Seborrhoea Open comedones Common type closed comedones papules, nodules and cysts Depressed or hypertrophic scarring hyperpigmentation can follow

Cutaneous virilization

dominated by papulopustules suddenly Corticosteroids androgens anabolic steroids gonadotrophins Progesterone containing oral contraceptives lithium iodides bromides anticonvulsants E.G.. Conglobate Drug induced

ball Nodules Severe form Cysts Scar abscesses or cysts with intercommunicating sinuses leaves deeply pitted or hypertrophic scars

ambiguous genitalia Congenital adrenal hyperplasia salt-wasting Fulminans

conglobate acne fever + joint pains High (ESR) soon after birth common in males Infantile Cutaneous virilization oligomenorrhoea obesity Glucose intolerance Exogenous on the trunk last up to 3 years Polycystic ovarian syndrome Due to maternal androgens

Acne
Presentation
hirsutism Acne male-pattern balding

only comedons Tars chlorinated hydrocarbons oily cosmetics Tropical Can cause OR exacerbate acne

Sweat causes follicular occlusion Common in white ppl traveling to the tropics

common in young girls Excoriated mainly in women limited to the chin Late onset Nodular and cystic stubborn With obsessional picking or rubbing

3/13/2011 - Maen K. Abu Househ | Reviewed by Reem Al-qudah - Acne Presentation