Hormones
"LH fell more slowly with age in the men with acne as compared to the controls. In our heterogeneous group of patients with acne vulgaris the findings suggest that a sub-group of men with acne have raised serum LH levels. "
Farrell, A., Alaghband-Zadeh, J., Carter, G., Newson, R. B., & Cream, J. J. (1999). Do some men with acne vulgaris have raised levels of LH?. Clinical endocrinology, 50(3), 393–397. (edited)