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Anabolic steroids increase the amount of skin oil produced in skin pores, and people with more skin oil tend to have more acne and more severe cases of acne(the result of increased oil production). Although steroids may alleviate the symptoms of hyperpigmentation, they also increase the risk of developing an acne and are usually not effective at managing acne. This does not mean that all people with fair skin do not experience hyperpigmentation and/or acne. However, the majority of men and women with fair skin do not suffer from hyperpigmentation or acne. Hyperpigmentation can appear on many different areas of the face. The most common spots are acne scars and facial skin bumps. The more acne scars and skin bumps you have the more likely to develop hyperpigmentation since your skin is much more susceptible to skin aging and/or sun damage. If you have any skin cancers like melanoma or adenocarcinoma, you may also suffer from acne, and the more painful your acne, the more likely you are to develop hyperpigmentation. The more acne scars or skin bumps you have the more likely to develop hyperpigmentation since your skin is much more susceptible to skin aging and/or sun damage. Other common skin conditions that can cause hyperpigmentation or acne may include: Alopecia Areata (or alopecia) is an autoimmune disease that affects the hair follicles of the skin and other body parts. Symptoms include a lack or low hair growth (unusual growth), hair thinning, acne, hair fall, matted hair, hair loss, and scarring. Skin conditions that often occur in alopecia include: psoriasis, lichen planus, hirsutism (scarring of the body part of your choice), and acneiformis. There is also a condition called alopecia albicans that also affects the skin and can lead to the appearance of acne. Symptoms include the growth of excess hair, lack of thinning hair, and increased hair growth. Skin disorders affecting the hair, like alopecia albicans, psoriasis, lichen planus, hirsutism, and acneiformis, can increase the chance of developing hyperpigmentation. is an autoimmune disease that affects the hair follicles of the skin and other body parts. Symptoms include a lack or low hair growth (unusual growth), hair thinning, acne, hair fall, matted hair, hair loss, and scarring. Skin disorders that often occur in alopecia include: psoriasis, lic Similar articles: