Acne
in Adolescents Lean PCOS-Prevention and
Diet Instructions
There
is little that can be more devastating to a young healthy woman than the stigma
of acne which is there for everyone to see.
Reasons-
There are be multiple etiologies but in a young adolescent female PCOS should
be ruled out first
Triggering
factor- Can be some stress, diet changes, hormonal disturbances.
Acne
vulgaris is a very common condition particularly in adolescents. It is
basically caused by increased activity in sebaceous glands which is dependent
on androgens. Acne in women may thus be considered as a manifestation of
cutaneous androgenization. It often appears in the teenage years, induced by
the burst of
pubertal
androgenic activity, but if persistent, particularly severe or of late onset,
acne is commonly associated with polycystic ovary syndrome (PCOS).
Role
of Diet-
Acne
causing food items-
Studies
indicate that certain dietary factors, including dairy products and
carbohydrate-rich foods — such as
bread, bagels and chips — may trigger acne. Chocolate has
long been suspected of making acne worse.
Acne
clearing diet items-
1. Oily fish like salmon or tuna.
2. Chia seeds.
3. Sweet potatoes
4. Almonds.
5. Sunflower seeds.
6. Complex carbs.
7. Orange juice.
But
first rule out causative factor before following any of diet chart after
consultation with your Doctor and preferably dietician
What
we need to get rid of acne-
First
we need patience- by doctor and patient both
Proper
work up then as per etiology proceed
Good
compliance as it make take long
Treatment
may need to be maintained even once its cleared
Risks
of relapses should be informed
Treatment
modalities- Ideally Skin specialist and Gynecologist should work on same page
to give patient best results
Treatment varies
as per etiology- can be simple local measures or may need systematic approach
with anti male hormone drugs and anti infection drugs
So follow advise
as per situation
The
presence of acne in women with PCOS is androgen dependent.
•
Anti-androgens are the mainstay of treatment (e.g. combined oral contraceptive
pill, CPA and
spironolactone).
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