TY - CHAP M1 - Book, Section TI - Acanthosis Nigricans A1 - Smith, Mindy A. A2 - Usatine, Richard P. A2 - Sabella, Camille A2 - Smith, Mindy Ann A2 - Mayeaux, E.J. A2 - Chumley, Heidi S. A2 - Appachi, Elumalai PY - 2015 T2 - The Color Atlas of Pediatrics AB - A 10-year-old girl with obesity and recently diagnosed type II diabetes mellitus (DM) presents to her pediatrician with concerns about a “dirty area” under her arms and on her neck that “couldn’t be cleaned” (Figure 190-1). The pediatrician makes the diagnosis of acanthosis nigricans and explains to the mother the importance of weight loss, good diet, and exercise. She uses this as a teachable moment to explain how the obesity and diabetes are adversely affecting the daughter and how this is visible on the skin. The role of genetics is discussed too but there is emphasis on the risk factors that can be altered. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/07 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1114879123 ER -