I could use some feedback or direction if you are able to help. I have a 21-year-old daughter who has had acne since age 10. Some months her face is almost clear but within a month or so becomes so inflamed that I am convinced it is not normal acne. It is painful to see this beautiful young girl with a constant acne-rash that alternates between pustular and bumpy. We have gone to so many dermatologists and walk out feeling the same as the last time. The treatments are mostly useless. I am convinced the issue has something to do with her thyroid. We tried clearing her system. She stopped her Birth Control Pills, changed her environment, and changed her make up, changed shampoo, soap, detergent, kept a clean pillow, facial cleansers, you name it.
She was on a semester at sea and thus her environment completely changed. I hoped for some relief for her. However, she came home and her face was just the way it was when she left.
Over the past year or so she had normal tests. Thyroid Uptake, 22.8%, Clear Chest radiographs, Iodine Scan was normal, DHEAS (433), Free Testosterone 1.1, normal chemistry profile other than high Cholesterol 229. Additional Tests began when she was fatigued and her TSH was at 0.61 (low) and again a repeated test of 0.25 low with a Mono High of 12. She was treated for exhaustion and pneumonia, rested and had a repeat TSH that was normal (I don’t have the number). The only thing amiss was the MRI scan that showed a 2cm mucous retention cyst within the left maxillary sinus. She rocks the house when she blows her nose.
Her acne becomes more inflamed during stressful times but even during normal periods, the acne is persistent. Her diet is not the best, but I would not say she was vitamin deficient. She gets frequent headaches and has a slight down growth on her chin and under her nose. She is pale skinned with blue eyes. She bruises easily. Has constant sore ankles and knees and gets winded when she runs, so she doesn’t run. Her face looks greasy or sweaty. Her temperature has always run a degree or so high. Most everything else is normal. I just don’t get it. Can you offer any direction? We are considering going back to the endocrinologist who ordered these tests about a year or so ago. Could it really be acne that is so resistant? Eleven years is too long for a young girl to have this unpleasant ailment. Thank you for any help. Karen Lee
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