Acne Breakouts: When to See a Dermatologist or Endocrinologist - Dermatology

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Localized persistent acne is a concern?


Hello, doctor.
After researching, I suspect it might be an endocrine disorder.
I'm currently unsure whether I should consult a dermatologist or an internist.
Please assist me, thank you.
My symptoms started about two months ago with a significant outbreak of acne on my back, which lasted for over a month.
Currently, my back is gradually improving, but now I'm experiencing a severe breakout of acne behind my left ear, on my cheek, and at the junction of my neck.
This has spread to my left cheek and chin, and then within a day, the right side of my neck and behind my ear has also developed a similar severe acne outbreak as the left side.
I'm not sure what's happening.
😭😭😭😭😭 The main concentration is at the junction of my cheeks and neck, while my chin has only one or two pimples.

Ding, 20~29 year old female. Ask Date: 2018/07/14

Dr. Li Yufen reply Dermatology


Hello: Regarding acne, you can refer to a series of articles on the Dermatology Expert Health Network at http://www.drskincare.com.tw/Qa/index.aspx?CID=4&pg=1.
There are many causes of acne, and treatment may take some time.
It is recommended that you first consult a dermatologist nearby, and then assess whether further examinations by an endocrinologist or gynecologist are necessary.
Thank you!

Reply Date: 2018/07/14

More Info


Acne breakouts can be frustrating and distressing, especially when they seem to appear suddenly and in clusters. Based on your description, it sounds like you are experiencing a significant amount of acne on your back, face, and neck, which can be indicative of various underlying issues, including hormonal imbalances.
When it comes to determining whether to see a dermatologist or an endocrinologist, it is essential to consider the potential causes of your acne. Hormonal acne is often linked to conditions such as polycystic ovary syndrome (PCOS) or other endocrine disorders. If you suspect that your acne may be related to hormonal changes, it would be prudent to consult with an endocrinologist. They can perform tests to evaluate your hormone levels and determine if there are any imbalances that need to be addressed.
On the other hand, a dermatologist specializes in skin conditions and can provide targeted treatments for acne. They can prescribe topical or oral medications, such as retinoids, antibiotics, or hormonal treatments, to help manage your acne. If your acne is persistent and not responding to over-the-counter treatments, seeing a dermatologist would be a wise choice.
In your case, since you have already experienced breakouts in multiple areas, it may be beneficial to see both specialists. A collaborative approach can help ensure that any underlying hormonal issues are addressed while also providing effective treatment for your skin.
In addition to seeking medical advice, there are several lifestyle changes you can implement to help manage your acne. Here are some recommendations:
1. Maintain a Consistent Skincare Routine: Use a gentle cleanser twice a day to remove excess oil and dirt from your skin. Look for non-comedogenic products that won’t clog your pores.

2. Moisturize: Even if you have oily skin, it’s essential to use a lightweight, oil-free moisturizer to keep your skin hydrated.

3. Avoid Picking or Squeezing: As tempting as it may be, avoid picking at your acne, as this can lead to scarring and further inflammation.

4. Watch Your Diet: Some studies suggest that high-glycemic foods and dairy products may exacerbate acne. Consider keeping a food diary to identify any potential triggers.

5. Manage Stress: Stress can worsen acne for some individuals. Incorporate stress-reducing activities into your routine, such as exercise, meditation, or yoga.

6. Stay Hydrated: Drinking plenty of water can help keep your skin hydrated and may improve its overall appearance.

7. Consider Hormonal Treatments: If hormonal imbalances are confirmed, treatments such as birth control pills or anti-androgens may be effective in regulating hormone levels and reducing acne.

8. Follow Up Regularly: If you start a new treatment or medication, be sure to follow up with your healthcare provider to monitor your progress and make any necessary adjustments.

In conclusion, it is crucial to take a comprehensive approach to your acne treatment. Consulting both a dermatologist and an endocrinologist can provide you with a well-rounded understanding of your condition and the best strategies for managing it. Remember, acne is a common issue, and with the right treatment and care, you can achieve clearer skin. Don’t lose hope, and take proactive steps towards finding the right solution for you.

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