title: Severe ulcerated 'bodybuilding acne' caused by anabolic steroid use and exacerbated by isotretinoin.
abstract: We report a case of severe "bodybuilding acne" in a 22-year-old patient. Treatment with isotretinoin paradoxically led to exaceibation and occurrence of pyogenic granuloma-like lesions.
authors.affiliation: Department of Dermatology, University Hospital Erlangen, Hartmannstrasse 14, 91052 Erlangen, Germany. verena.voelcker@uk-erlangen.de
authors.forename: Verena
authors.initials: V
authors.lastname: Voelcker
authors.forename: Michael
authors.initials: M
authors.lastname: Sticherling
authors.forename: Jürgen
authors.initials: J
authors.lastname: Bauerschmitz
mesh_terms: D000152:Acne Vulgaris / Q000139:chemically induced / Q000188:drug therapy / Q000473:pathology; D000328:Adult; D045930:Anabolic Agents / Q000009:adverse effects*; D000728:Androgens / Q000009:adverse effects*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D015984:Causality; D015310:Cefotiam / Q000627:therapeutic use; D003879:Dermatologic Agents / Q000009:adverse effects*; D006097:Granulation Tissue / Q000187:drug effects; D017789:Granuloma, Pyogenic / Q000139:chemically induced*; D006801:Humans; D007249:Inflammation; D015474:Isotretinoin / Q000009:adverse effects*; D008297:Male; D009336:Necrosis; D013492:Suppuration; D013739:Testosterone / Q000009:adverse effects*; D014891:Weight Lifting
chemical_list: D045930:Anabolic Agents; D000728:Androgens; D000900:Anti-Bacterial Agents; D003879:Dermatologic Agents; D013739:Testosterone; D015310:Cefotiam; D015474:Isotretinoin