It is usually seen in women having obsessive compulsive disorder or other mental illness. Compulsive manipulation of skin is known to give rise to acne scarring and lesions. Trauma– Traumatic acne is called acne excoriee.Many chemotherapy drugs are also known to trigger pustular acne which can be treated using oral antibiotics. Women and men suffering from bipolar disorders are often treated with Lithium which is known to increase adult acne. In peri-menopausal women taking testosterone injections for increasing their libido, the chances of developing acne tend to go higher. In pre-menopausal women, the use of birth control pills, injected or implanted intrauterine devices (IUDs) etc are known to cause increased acne flare-ups.
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