Dermatological problems in adolescents

Androgen dependant skin problems

Acne – closed and open comedones. Macrolides have a high follicular concentration and are useful in the treatment of acne. Retinoids are also used frequently. Systemic antibiotics are also useful. Systemic retinoids should be used with caution. Comedone extraction is one of the common office procedures.

Hirsuitism if associated with metabolic syndrome should initiate a search for polycstic ovarian syndrome.

Seborrhoeic dermatitis is also androgen dependant and may sometimes be associated with metabolic syndrome.

Psychocutaneous disorders

Dermatitis artefacta
Prurigo nodularis – a form of neurodermatitis

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