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Evaluating hyperandrogenism: a challenge in acne management.

Julie C Harper¹

¹University of Alabama, Birmingham, AL, USA. juharper@yahoo.com

Journal of Drugs in Dermatology : JDD

|June 20, 2008

Summary

Acne vulgaris can indicate excess androgens (hyperandrogenism). Evaluating patients requires a thorough history, physical exam, and laboratory screening for hormonal imbalances when signs of androgen excess are present.

Area of Science:

Endocrinology
Dermatology

Background:

Acne vulgaris is a common skin condition.
Hyperandrogenism, characterized by excess androgens, can manifest as acne vulgaris.
Understanding normal androgen production is key to identifying abnormalities.

Purpose of the Study:

To outline the evaluation of acne vulgaris as a potential sign of hyperandrogenism.
To emphasize the importance of clinical assessment and laboratory testing.

Main Methods:

Review of clinical presentation of acne vulgaris.
Assessment of diagnostic criteria for hyperandrogenism.
Guidance on appropriate laboratory screening for hormonal abnormalities.

Main Results:

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Clinical signs of androgen excess are crucial indicators.

A comprehensive history and physical examination are essential first steps.

Hormonal evaluation is imperative when clinical signs are present.

Conclusions:

Acne vulgaris warrants evaluation for underlying hyperandrogenism.
A systematic approach combining clinical assessment and laboratory testing is necessary.
Identifying and managing hyperandrogenism is critical for effective acne treatment.