TY - CHAP M1 - Book, Section TI - Obesity A1 - McConkey, Stacy A1 - Fals, Angela M. A2 - Usatine, Richard P. A2 - Sabella, Camille A2 - Smith, Mindy Ann A2 - Mayeaux, E.J. A2 - Chumley, Heidi S. A2 - Appachi, Elumalai Y1 - 2015 N1 - T2 - The Color Atlas of Pediatrics AB - A 13-year-old Hispanic female is brought to her pediatrician with various concerns, including that her neck always appearing dirty no matter how much she washes and scrubs it. The pediatrician notes that the child has acanthosis nigricans of the neck and axillae along with obesity (Figure 194-1). The mother is obese and admits to having type 2 diabetes. A diet history reveals that the mother cooks traditional Mexican cuisine and the daughter is very fond of tortillas. She also loves to eat pizza, french fries, and other fast food. The girl is a good student but does not like to exercise or play sports. The pediatrician is concerned that the girl may have insulin resistance or type 2 diabetes so she plans to send the patient for screening labs including hemoglobin A1c and fasting blood sugar. She also recommends a healthier diet with less calories and increased physical activity. A referral to a nutritionist is offered. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/10 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1114879340 ER -