Home
Up
Help for Problems
Appointment Booking
Consultation
Question of the Month
FAQ
Newsletter
Media Coverage
Search
Links
Books
Dr Redmond Biography
Research
Privacy Statement




 

Question of the Month

Q:  I have hereditary Cystic Acne on my back and in my groin area. Have had many
deep cysts surgically removed and have the typical deep acne scarring. I'm 44 and have had this since my early teens. I've taken oral contraceptives, anti-biotics and accutane to no avail. I also had a partial hysterectomy 2 years ago. I was advised by a skin consultant that Aldactone might be of
benefit to me. Please advise.


The condition you describe in the groin area sounds like hidradenitis supporativa, though of course I can't be sure just from your description. This condition usually affects the underarms and groin but sometimes other areas where skin is against skin, for example, under the breasts. It consists of what look like small boils and often drain yellow material. Hidradenitis does not affect the face but since both it and cystic acne are triggered by testosterone, the two can go together. My experience suggests that lowering and blocking testosterone can help. The use of Aldactone (spironolactone) and other medication for this purpose is discussed in the acne article on this website. However so far as I know, there are no studies of use of spironolactone for hidradenitis. It does work well for cystic acne however. Accutane usually works for cystic acne but not for hidradenitis.

I would suggest having your testosterone and DHEA-S measured and discussing anti-androgen treatment with a knowledgeable physician.

Please remember that I cannot make a specific diagnosis or treatment recommendations over the web. I hope this general information is helpful to you.

Sincerely,
Geoffrey Redmond, MD


Read Other Questions ->

Read Articles on Similar Subjects ->

Home  Consultation  Help for Hormone Problems   Question of the Month   FAQ
Newsletter  Media Coverage 
Links  Biography  Research   Privacy Statement   Map to Clinic

Information provided by Hormone Center of New York  212-338-0002
Copyright © 2008 Hormone Center of New York.
E-mail: info@hormonehelpny.com 
 

This web site is not intended as a substitute for medical advice.
The reader should regularly consult a physician in all matters relating to his/her health,
and particularly in respect of any symptoms that may require diagnosis or medical attention.

Copyright © 2008 Hormone Center of New York.  Last modified: 03/23/08
Site designed and hosted by