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Which of the following skin conditions is caused by excess androgen produced in the adrenal glands?

  1. Psoriasis

  2. Eczema

  3. Acne

  4. Dermatitis

The correct answer is: Acne

Acne is primarily caused by the overproduction of sebum and the presence of androgens, which are hormones that include testosterone. When the adrenal glands produce excess androgens, it leads to increased sebum production in the skin. This can cause the hair follicles to become clogged with oil and dead skin cells, resulting in the formation of acne lesions. In adolescents and young adults, hormonal fluctuations, particularly during puberty, can also lead to an increase in androgens, further exacerbating acne. The other options listed do not have their primary causes rooted in excess androgen production from the adrenal glands. Psoriasis is related to an autoimmune condition that leads to rapid skin cell turnover. Eczema is primarily associated with inflammation and allergic reactions in the skin. Dermatitis refers to inflammation caused by external irritants or allergens, and while it can present similarly to acne, it does not have a direct link to androgen levels. Thus, acne is squarely connected to the effects of androgens, making it the correct answer in this context.