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Estrogen dermatitis

O A Leylek1, S Unlü, S Oztürkcan

  • 1Department of Obstetrics and Gynecology, Cumhuriyet University, School of Medicine, Kadin Hastaliklari Anabilim Dali, Sivas, Turkey.

European Journal of Obstetrics, Gynecology, and Reproductive Biology
|March 1, 1997
PubMed
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This study found that estrogen sensitivity is linked to chronic skin disorders in women, often presenting with hormonal imbalances like hyperandrogenism. Treatment with tamoxifen effectively resolved skin lesions in estrogen-sensitive individuals.

Area of Science:

  • Dermatology
  • Endocrinology
  • Gynecology

Background:

  • Chronic skin disorders can exhibit cyclic patterns, particularly premenstrual flares.
  • Estrogen sensitivity is a potential factor in the exacerbation of certain dermatological conditions.

Purpose of the Study:

  • To investigate the role of estrogen sensitivity in women with chronic skin disorders.
  • To analyze the endocrine profiles of women with estrogen-sensitive dermatoses.
  • To evaluate the efficacy of tamoxifen in treating estrogen-sensitive skin conditions.

Main Methods:

  • Included 23 women with skin disorders (pruritus, urticaria, eczema, etc.) and 18 healthy controls.
  • Assessed estrogen sensitivity and characterized skin lesion patterns (premenstrual flares, chronic exacerbations).

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  • Analyzed serum hormone levels including testosterone, LH, FSH, and progesterone.

    • Main Results:

    • Estrogen sensitivity was identified in 14 of 23 women, with 9 experiencing premenstrual flares.
    • Patients showed significantly higher serum testosterone and LH levels, and an elevated LH/FSH ratio compared to controls.
    • Patients had significantly lower serum progesterone levels.
    • Hyperandrogenism and anovulation were common findings in the patient group.

    Conclusions:

    • Estrogen sensitivity is associated with chronic skin disorders in women, often accompanied by hormonal imbalances.
    • Tamoxifen administration (20 mg daily for 7 days premenstrually) led to complete resolution of skin lesions in estrogen-sensitive women.