Evaluating hyperandrogenism: a challenge in acne management.

Acne vulgaris may be a manifestation of hyperandrogenism. An appropriate, thorough history and physical exam will identify evidence of androgen excess. An understanding of normal androgen production and conditions of androgen excess is critical when evaluating for hyperandrogenism. Laboratory screening for hormonal abnormalities is imperative when clinical signs of hyperandrogenism are present.