Acanthosis Nigricans and the Metabolic Syndrome

    September 2017 in “ Clinics in Dermatology
    Ayse Serap Karadag, Yi You, Retno Danarti, Safaa Al-Khuzaei, WenChieh Chen
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    TLDR Acanthosis nigricans is a skin condition that may indicate a higher risk for insulin resistance and type 2 diabetes, and more research is needed to understand and treat it.
    The document from 2018 discusses Acanthosis nigricans (AN), a skin condition linked to obesity, insulin resistance, and metabolic syndrome, with varying prevalence among ethnic groups. AN serves as a clinical marker for identifying patients at risk for insulin resistance and type 2 diabetes, but its correlation with these conditions requires further study. The classification of AN includes obesity-associated, endocrinologic, monogenic, multigenic, paraneoplastic, drug-induced, and indeterminate subtypes, with specific syndromes like HAIR-AN syndrome also mentioned. Treatment options like retinoids and metformin show promise, but controlled studies are lacking, and the impact of lifestyle changes on AN is not well understood. The document highlights the need for large-scale studies to validate AN as a predictor of insulin resistance or type 2 diabetes and suggests research into insulin/IGF-1 and other signaling pathways to improve understanding and treatment of AN.
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