RT Book, Section
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
SR Print(0)
ID 1114879123
T1 Acanthosis Nigricans
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114879123
RD 2024/04/19
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.