Steroid acne is different from the more common form of acne called acne vulgaris. This condition is seen more frequently in people who have been taking steroid medications for a long time. It is also seen in people who have Cushing’s syndrome. High levels of testosterone around puberty can also result in steroid acne. Steroids have a tendency to increase the androgen levels in the body. These male hormones can trigger the sebaceous glands to produce more sebum. As a result of this, pores get clogged with sebum and subsequent bacterial infection and inflammation occurs, resulting in acne. Steroid acne is characterized by itchy, red bumps. These may sometimes be filled with pus. Sometimes, the bumps may harbor whiteheads and can even cause scars. Steroid acne usually affects the chest although other areas like neck, face and arms may also be affected. The condition usually clears up on its own once the steroid use is discontinued. However, if the condition does not show signs of resolving or spreads to other parts of the body, you must consult your doctor. In females, anti androgen medications like topical inocoterone acetate, spironolactone and cyproterone acetate may be prescribed to treat steroid acne. Drugs like finasteride and dutasteride help prevent the conversion of testosterone to dihydrotestosterone and thereby help counter steroid acne.