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Tissue production of androgens in women with acne.

Abstract
Precursor and target tissue-produced androgens were measured in the plasma of eighteen women with mild to moderate acne. Mean plasma levels of the precursor androgens (total testosterone, free testosterone, androstenedione, and dehydroepiandrosterone sulfate) wer similar to levels in a group of carefully selected acne-free and hirsute-free, age-matched female controls. In contrast, plasma 3 alpha-androstanediol glucuronide (3 alpha-diol G) values were elevated in 13 of the patients, with a mean value for the entire group nearly threefold that of the normal controls (117 vs 43 ng/dl; p less than 0.001). These results support the concept that target tissue androgen production plays an important hormonal role in the pathogenesis of acne in women and that plasma 3 alpha-diol G may be the most sensitive marker of this process.
AuthorsD P Lookingbill, R Horton, L M Demers, N Egan, J G Marks Jr, R J Santen
JournalJournal of the American Academy of Dermatology (J Am Acad Dermatol) Vol. 12 Issue 3 Pg. 481-7 (Mar 1985) ISSN: 0190-9622 [Print] United States
PMID3157707 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Androgens
  • Dihydrotestosterone
  • Androstane-3,17-diol
  • androstane-3,17-diol glucuronide
  • Testosterone
  • Androstenedione
  • Dehydroepiandrosterone
  • Dehydroepiandrosterone Sulfate
Topics
  • Acne Vulgaris (etiology, metabolism)
  • Adolescent
  • Adult
  • Androgens (biosynthesis)
  • Androstane-3,17-diol (analogs & derivatives, metabolism)
  • Androstenedione (blood)
  • Dehydroepiandrosterone (analogs & derivatives, blood)
  • Dehydroepiandrosterone Sulfate
  • Dihydrotestosterone (metabolism)
  • Female
  • Humans
  • Skin (metabolism)
  • Testosterone (blood)

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