Acanthosis Nigricans Flashcards
Its a cutaneous marker of?
Insulin resistance & obesity
Genetic disorder & malignancy less frequently
Describe lesion
Symmetrical grey-brown velvety plaques
With feathered margins
Looks like dirty appearing hyperpigmentation
Hereditary an
AD inheritance
Hair - AN syndrome
Hyper androgenism
Insulin resistance
Acanthosis Nigricans
M/C/C
Obesity - benign acquired an
Drug induced AN
Corticosteroids
OCPs
Nicotinic acid
Stilbesterol
Malignant AN
Adenocarcinoma stomach → mc malignancy
Sites of predilection?
Back of neck is → m. Consistently & severely affected area
Neck, axilla, groin, antecubital & popliteal fossa, face, submammary folds , wrist
What are tripe palms?
Indicate?
If involve knuckles & palms → rugated app → c/a tripe palms → indicative of malignancy
Involves vulva in?
Obese, hirsute, hyperandrogenic & insulin resistant woman