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ACNE IN ADULTHOOD:

Occasionally the onset of acne in adulthood can signal the presence of pituitary, adrenal, or ovarian tumors. The condition will usually be accompanied by other signs of excess androgen or erratic hormone activity: Irregular menstrual periods, the growth of facial hair, and deepening of the voice. Other factors, if not direct causes, may aggravate and already existing case of acne. In cases of anxiety and stress, the body signals the pituitary gland to release more of its hormones to meet the challenge. These, in turn, stimulate the adrenal cortex to pour more androgens into the bloodstream. Since people vary in their tolerance to extra androgens, not everyone under pressure will have an acne flare-up. But stress will put those who are susceptible at higher risk. Stress can also lead to nervous scratching and picking of the face, which can irritate pimples and drive them deeper into the skin. To complicate matters, it has been found that the output of fatty acids is also increased during stress.