Please some days back, i had an encounter with a patient.
Who noticed that her face always gets rough after a little bit of walking under the sun...
So I'm asking if stress can stimulate acne...
Does stress cause acne, does it stimulate hair breakage?
Question posted by JohnCzar144 on 10 Aug 2023
Last updated on 10 August 2023
Answers
Hello,
The Impact of Psychological Stress on Acne
Acne is one of the most common skin disorders. It is a multifactorial and complex disease, originating in the pilosebaceous follicle where a hereditary background, androgens, skin lipids, disorders of keratinization, inflammatory signaling, and regulatory neuropeptides seem to be mainly involved. Even though emotional stress has long been suspected to trigger or exacerbate acne, its influence on acne severity has been mostly underestimated until recently when studies have brought new data about the different mechanisms and possible factors involved in this interaction. A point to note is that there have been relatively few studies examining stress as a possible cause of acne or acne exacerbation; more studies have focused on stress and mental health problems occurring as a result of acne. In this review, we have tried to identify the underlying mechanisms that link stress to acne according to the latest scientific findings, and we summarize this perplexing connection. The basis for the association between emotional stress and the onset or exacerbation of acne is in several cutaneous neurogenic factors which interact with a pathogenic cascade in acne. This bidirectional intimate relationship of the skin and the mind emphasizes the importance of a holistic and interdisciplinary approach to caring for patients with acne that involves not only dermatologists but also psychologists and psychiatrists.
Source: National Library of Medicine
National Center for Biotechnology Information
Perhaps if your patient suffers from Rosacea, walking under the sun without sun block may cause her face to get, as you mention ,"rough" or a breakout (lesions from this condition).
This may be another reason that must not be overlooked, as you are aware extreme weather conditions cold or hot do affect people´s skin that suffer from this condition.
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