What made me suspect sleep was a few studies showing that a lack of sleep has a negative effect on various hormones:
http://www.ncbi.nlm.nih.gov/pubmed/22844441
http://www.ncbi.nlm.nih.gov/pubmed/22787499
http://www.ncbi.nlm.nih.gov/pubmed/19955752
http://www.ncbi.nlm.nih.gov/pubmed/10543671
http://www.ncbi.nlm.nih.gov/pubmed/23078578
I found a couple studies on acne that mentions lack of sleep:
https://www.ncbi.nlm.nih.gov/pubmed/11763987
https://www.ncbi.nlm.nih.gov/pubmed/14962066
https://www.ncbi.nlm.nih.gov/pubmed/20463367
https://www.ncbi.nlm.nih.gov/pubmed/22850476