Mild to moderate acne, particularly on the back and shoulders, is a common side effect of anabolic steroids that is aggravated when more androgenic compounds like testosterone or methandrostenolone are used. Most steroid users are able to manage steroid-induced acne during a steroid cycle. Even though most steroid users do not experience severe acne, a beginning steroid user should never assume that they will react to steroids like “most people.” Severe acne is exceedingly rare (especially on the chest), it regrettably afflicted a 21-year old German bodybuilder who happened to use anabolic steroids giving a prestigious medical journal the opportunity to blame the resulting infection and scarring on steroids (”Bodybuilder scarred from steroids,” August 21).

Dr Peter Arne Gerber, from the Department of Dermatology at Heinrich-Heine-University in Düsseldorf, Germany, said moderate amounts of the drug could cause big problems.

“Usually in people taking moderate doses of the drug you see some sort of mild acne but in severe cases it can ulcerate.

Steroids may have initially induced acne in the case of the German bodybuilder but should NOT be held responsible for the resulting untreated infection that was inexplicably allowed to reach this graphic stage of ulcerations.

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