ACNE FLARES UP DURING RAMADAN
Q I’m a 19-year-old girl and have acne and marks all over my face. It increases during Ramadan. I also suffer from hair loss and grey hair.
AYour complaints of active acne and marks on your face are interconnected issues. In cases of untreated or late-treated acne, most sufferers end up being left with acne marks, which in fact represent areas of post inflammatory hyperpigmentation – one of the most commonly seen post-acnesequels.
As such, your active acne needs to be treated first and the marks can be treated later.
There are many oral and topical treatments available for acne. However, you need to consult an experienced dermatologist and undergo a personalised examination in order for them to prescribe the most suitable therapeutic combination for you. Acne flaring up during Ramadan is not a very common observation in general, but consumption of oily foods during iftar and suhour can sometimes aggravate preexisting acne.
Your other concern – increased hair loss – could be due to a large list of suspected causes, including hormonal, metabolic and malabsorption disorders; scalp diseases, consumption of oral medications, extreme physical stress particularly caused by an acute or chronic systemic illness and psychological stresses.
There are many supportive therapies available to slow down the process. However, an effective result can only be achieved by detecting the exact cause if possible, and either treating it or eliminating it.
As for premature greying of hair, hereditary factors are generally believed to have a strong causative influence. Certain metabolic disorders are also on the list. Premature greying has also been seen as one of the many components of extremely rare medical syndromes, which also affect several other aspects of the sufferer’s health.
Unfortunately, there’s no definite curative treatment. I would discourage you from using hair dye at this early age, as there are a few anecdotal reports of acceleration of hair greying after people have used certain hair dyes.
DR IKRAMULLAH AL NASIR is a Dubai-based dermatologist