Rapid Review: Acanthosis Nigricans

July 17, 2017
Reviewed By: Amy Rontal
Acanthosis nigricans

Acanthosis Nigricans

  • Patient will be obese or diabetic
  • PE will show thickened, velvety, darkly pigmented plaques on the neck or axillae
  • Comments: Screen for diabetes in those not yet diagnosed

Sample question: A 19-year-old woman presents to her primary care provider’s office for a rash on the back of her neck that has grown and gotten darker over the past year. The woman has a past medical history asthma. Her pulse is 66 beats/min, respiratory rate is 18 breaths/min, blood pressure is 132/87 mm Hg, and her body mass index is 29. On exam, there is a horizontal, dark, velvety plaque on her posterior neck. Which of the following diagnostic studies is most appropriate?

By Yehuda Wolf, MPA, PA-C

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