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Here's a surprising report from AAD.org:

"When persistent acne is accompanied by excess facial hair, known as hirsutism, and hair loss or thinning hair, it could signal increased androgen production common in conditions such as polycystic ovaries and adrenal hyperplasia," said Dr. Berson. "In addition, women with hormonal acne also may experience irregular menstrual cycles, obesity, infertility or diabetes. It´s vitally important for these women to consult with their physician, as a blood test can determine the cause of these symptoms and the best treatment option."