• Marisa Gonzaga da Cunha, Caio Moraes, Giovana Cebrian, Rafaela Ferreira da Silva, Sônia Isabel Friedlaender Reple, Carlos D'Apparecida Machado Filho, and Fonseca Fernando Luiz Affonso FLA http://orcid.org/0000-0003-1223-1589 . Laboratório de Análises Clínicas da Faculdade de Medicina do ABC, Av. Príncip.
• . Disciplina de Dermatologia da Faculdade de Medicina do ABC, Av. Príncipe de Gales, 821, CEP 09060-650, Santo André, SP, Brasil.
• Rev Assoc Med Bras (1992). 2020 Jan 1; 66 (1): 36-41.

ObjectiveAcne vulgaris in female adolescents, when severe or accompanied by other signs of androgenization, may represent a sign of hyperandrogenemia often underdiagnosed, which will have harmful consequences for adult life. The objective of this cross-sectional and retrospective study was to demonstrate the incidence of hormonal changes in the cases of female adolescents with severe or extensive acne, with or without other signs of hyperandrogenism, and propose a hormonal research pattern which should be indicated in order to detect early hyperandrogenemia.MethodsThe medical records of 38 female patients aged between 9 and 15 years old with grade II and/or III acne were analyzed. The dehydroepiandrosterone sulfate, dehydroepiandrostenedione, and androstenedione, total testosterone, and dihydrotestosterone sulfate hormones were required prior to initiation of treatment. The hormonal dosages were performed in the serum after at least 3 hours of fasting by means of radioimmunoassay tests.ResultsOf the 38 patients included, 44.7% presented changes in androgen levels (hyperandrogenemia), and the two most frequently altered hormones were DHEA and androstenedione, with the same incidence (23.6%).ConclusionsThe correct and early diagnosis provides an effective and agile approach, including antiandrogen therapy, with the purpose of avoiding the reproductive and metabolic repercussions, besides controlling the inflammatory picture and avoid aesthetic complications.

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