27/09/2025                                                                            
                                    
                                                                            
                                            "မျက်နှာမှာ ပေါက်မှသာ ဝက်ခြံလို့ ခေါ်တာ မဟုတ်။" ကျော တွေ လက်မောင်းတွေ မှာလည်း ဝက်ခြံ အမျိုးအစားတွေ ဖြစ်တတ်ပါတယ်
✅Acne Management အတိုင်း ကုသပေမယ့် Treatment Response မကောင်းတာမျိုးဆိုရင် Drug Induced Acneiform Eruption ကို ထည့်စဉ်းစားရမှာပါ 
💎Drugs that cause or exacerbate acne
A number of drugs may induce acne- like eruptions or exacerbate preexisting
acne (acne medicamentosa). Consider this possibility in patients
with atypical presentations
💎What should I look for?
• Acneiform rash (erythematous follicular pustules and papules).
• Unusual distribution, predominantly on the trunk and upper
outer arms.
• Absence of comedones (whiteheads, blackheads)
💎Which drugs may be implicated?
• Anti- epileptics (phenytoin, carbamazepine, gabapentin).
• Anabolic steroids— danazole, testosterone. Ask about these drugs in
athletes or body builders with acne not responding to treatment.
• Antitubercular drugs (isoniazid).
• Ciclosporin.
• Corticosteroids, including corticosteroid inhalers or inhalation
through a face mask, e.g. in young children.
• Epidermal growth factor receptor inhibitors (used for the treatment
of some cancers).
• Growth hormone.
• H alogenated compounds (iodides, radio- opaque contrast materials,
bromides in sedatives, analgesics).
• Lithium.
• Progestogens such as medroxyprogesterone.
• Vitamin B12 (cyanocobalamin).