Acne
Having acne in adolescence is not pleasant, but in adulthood it can become a nightmare and have a negative impact on our quality of life, socioeconomic status, decrease job opportunities, affect self-esteem, performance or generate insecurity, even becoming a cause of social isolation.
Acne in people over 25 is usually the expression of a systemic disease, generally endocrine, secondary to states of hyperandrogenism (excess of male hormones), also in elevations of prolactin, cortisol or alterations in the response of the hormone receptor (the receptor is what carries out the function of the hormones in a certain organ, in this case the skin) even though the hormone levels are within normal values.
It can also be associated with genetic factors, medications, diets rich in carbohydrates or milk proteins or derivatives, vitamin B supplements, obesity, stress, or be a continuation of adolescent acne vulgaris.
When acne is mainly distributed in the lower third of the face, the cause is usually hormonal.
The approach to this pathology must be individualized; specialized assessment is the recommendation of the day, in search of the primary cause.
Teamwork leads to success, establishing a triangle between the patient, the dermatologist, and the endocrinologist.
Do not use local or systemic treatments that have not been prescribed by a doctor.
Exercise, control your weight, quit smoking, manage stress, avoid alcohol abuse, reduce carbohydrates and dairy in your diet, consume probiotics, foods rich in omega 3, polyphenols (green tea, turmeric).
Proper skin cleansing, do not pick at the skin, leave extraction procedures to a properly trained dermatological or aesthetic professional.
Dr. Lucia M. Gonçalves Jardim
Internal Medicine Physician.
Specialist in Endocrinology and Metabolism
Email: luciamgoncalvesj@gmail.com
Telephone: +351 939 056 458