For most of us, acne is something we have to deal with in the teenage years. Remember getting that pimple on your nose the same week as prom? Remember when stress of finals or the grease from school lunches would cause massive breakouts at the most socially inopportune time? Well, for most of us, those days are behind us. However, for those among us who choose to use anabolic steroids for greater physical development, acne is often an unhappy reality.
Acne affects more than 85 percent of teenagers but frequently continues into adulthood. Although there are more than 2 million visits to office-based physicians per year for patients in the age range of 15 to 19 years, the mean age at presentation for treatment is 24 years, with 10 percent of visits taking place when patients are between the ages of 35 and 44 years. Patients evaluated at tertiary care centers are prone to depression, social withdrawal, anxiety, and anger and are more likely to be unemployed than persons without acne. Scarring can lead to lifelong problems in regard to self esteem. The direct cost of acne in the United States is estimated to exceed $1 billion per year, with $100 million spent on over-the-counter acne products.
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