Acanthosis nigricans

Acanthosis nigricans can be seen with its dark, thickened, hyper-pigmented and velvety patches that typically develop in skin folds and creases (neck, armpits, groin). This has been cited to be due to excessive levels of insulin building in the body. While it is not harmful or contagious, it can be a sign of health conditions such as diabetes, obesity and hormonal imbalances caused by Polycystic Ovarian syndrome.

  • Peripheral arterial disease

    Venous insufficiency

    Vasculitis [1]

  • No known causes linked to infections

  • Gastric adenocarcinoma

    Malignant melanoma

    Wilms tumour [2]

  • Subcutaneous insulin

    Oral contraceptives

    Oral corticosteroids [1]

  • Some chemotherapy drugs have been associated with skin changes, including the development of acanthosis nigricans.

    Gastric bypass surgery might lead to the onset or worsening of acanthosis nigricans [3]

  • Hereditary benign acanthosis nigricans

    Naevoid acanthosis nigricans [1]

  • Insulin resistance

    Diabetes [1]

  • (Not traumatic but genetic and environmental) Obesity [4]

  • Metabolic syndrome

    Polycystic ovary syndrome

    Generalised lipodystrophy [1]

Source: DermNetNZ.org [1]

Acanthosis Nigricans

Acanthosis Nigricans of the neck with widely diffused purple hyperpigmentation

Source: DermNetNZ.org [1]

Acanthosis Nigricans

Acanthosis Nigricans of the axillary region (armpit) 

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Xanthomata

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Livedo reticularis