Can Taking Steroids Give You Acne? Causes, Symptoms, Treatment and Prevention

Most people use steroids for some reason or another. Some for the treatment of medical conditions such as asthma or arthritis, others to enhance bodybuilding or athletic performance. Yet one of the most surprising side effects of steroids is acne. Steroid acne is not an urban myth; it's a real and rather surprising condition that can occur in anyone who uses these drugs. It is important to know why steroids bring about acne, the warning signs, and what to do to treat and avert it. This can ensure you take good care of your skin alongside your overall health. Read ahead to know more about it, as we reached out to an expert who shares her insights on the topic. 

How Do Steroids Cause Acne?

Dr Bindu Sthalekar, Founder and Chief Dermatologist, Skin Smart Solutions, Mumbai, clarifies that steroid-induced acne occurs more frequently than people assume. When steroids, particularly anabolic steroids or corticosteroids, are used in large quantities or for a long duration, they enhance the secretion of androgens (male hormones) in the body. These hormones stimulate the sebaceous (oil) glands in the skin, leading them to secrete more oil.

Excess oil blocks the pores, holding dirt and bacteria within. This causes inflammation and the development of pimples or pustules. Steroid acne tends to come out quickly and is more intense than common acne. It typically occurs on the chest, back, shoulders, and occasionally the face. The breakouts are red, inflamed, and tend to appear very uniform.

Points to keep in mind:

• Steroids raise androgen (male hormone) levels.
• Androgens stimulate oil glands, resulting in increased oil production.
• Excess oil blocks pores, leading to acne.
• Breakouts are frequent, uniform, and inflamed.

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Symptoms of Steroid-Induced Acne

Steroid acne can resemble classic acne, but a few differences:

• Sudden onset, usually after initiation of steroids
• Red, inflamed pimples or pustules
• Uniform appearance (all lesions look alike)
• Most frequent on chest, back, and shoulders, sometimes on face
• Pimples are itchy or tender
• If you experience these symptoms after beginning oral steroids, be sure to inform your doctor. 

Steroid-Induced Acne Treatment

Dr Sthalekar recommends that you never suddenly stop taking prescribed steroids. Always see your doctor before altering your medication. Meanwhile, there are measures you can take to manage acne:

• Use non-comedogenic (non-pore-blocking) cleansers.
• Wash affected areas with mild cleansers with salicylic acid.
• Use topical antibiotics to minimise bacteria and inflammation.
• For more serious instances, oral antibiotics or retinoids can be prescribed by dermatologists.
• Keep your skin clean and do not pick or squeeze blemishes, as this might cause scarring.

Prevention Tips

• Notify your physician if you have a history of acne prior to initiation of steroids.
• Initiate a proactive skin care regimen with mild, non-comedogenic products.
• Steer clear of heavy creams or oily products on blemish-prone skin.
• Shower after sweating and maintain clean, dry skin.
• Never squeeze or pick at pimples.

A study in the Journal of Clinical and Aesthetic Dermatology affirms that steroid-induced acne is a recognised side effect, particularly with chronic corticosteroid use. The study revealed that early identification and appropriate treatment can prevent long-term damage to the skin and enhance quality of life for patients.

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Conclusion

Acne brought on by steroids is a true and treatable condition. If you're being treated with steroids for medical purposes, don't worry and consult your doctor and dermatologist closely to maintain healthy skin. Early knowledge, proper skincare routines, and medical advice can effectively prevent and treat steroid acne.