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What is a common effect of excessive hydrocortisone production on the skin?

  1. Hyperpigmentation

  2. Bruising

  3. Dryness

  4. Acne

The correct answer is: Bruising

Excessive hydrocortisone production, which is a form of cortisol, can lead to increased fragility of blood vessels and skin tissue. This results in bruising, as the skin becomes thinner and less resilient, making it more susceptible to injury from minor trauma. The elevated levels of this steroid hormone can disrupt normal skin function and create an environment where the skin is more prone to damage, including bruising with even slight pressure. While other conditions like hyperpigmentation, dryness, and acne can be associated with hormonal changes or skin disorders, the primary and most direct effect of excessive hydrocortisone is indeed the reduction in skin thickness and increased susceptibility to bruising. Understanding this relationship is important for estheticians and skin care professionals, as it influences treatment options and client education regarding skin health.