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Acanthosis Nigricans




Introduction

Acanthosis nigricans is a skin condition characterized by dark, thick, velvety skin in body folds and creases. It most often affects the armpits, groin and neck.

Acanthosis nigricans is mainly a cosmetic concern. There's no specific treatment — but treating any underlying conditions may cause the skin changes to fade.

Signs And Symptoms

Skin changes are the only signs of acanthosis nigricans. You'll notice dark, thick, velvety skin in body folds and creases — typically the armpits, groin and neck. Sometimes the lips, palms or soles of the feet are affected as well. The skin changes appear slowly, sometimes over months or years. Rarely, the affected areas may itch.



Causes

Acanthosis nigricans is often associated with conditions that increase your insulin level, such as type 2 diabetes or being overweight. If your insulin level is too high, the extra insulin may trigger activity in your skin cells. This may cause the characteristic skin changes.

In some cases, acanthosis nigricans is inherited. Certain medications — such as human growth hormone, oral contraceptives and large doses of niacin — can contribute to the condition. Other hormone problems, endocrine disorders or tumors may play a role as well. Rarely, acanthosis nigricans is associated with certain types of cancer.

Treatment

There's no specific treatment for acanthosis nigricans. Treating any underlying conditions may cause the skin changes to fade, however. If you're overweight, losing excess pounds can help. Sometimes dietary changes are helpful, too.

If you're concerned about the appearance of your skin, your doctor may prescribe a cream or lotion to help lighten the affected areas. Some of these lotions contain modified vitamin A products such as tretinoin (Retin-A, others) or other medications. Sometimes oral medications such as etretinate or isotretinoin (Accutane, others) are helpful. Fish oil supplements may also be recommended. Dermabrasion or laser therapy may help reduce the thickness of certain affected areas.



Information obtained from National Institute of Health
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