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Clin Cosmet Investig Dermatol. 2018 Aug 07;11:407-413. doi: 10.2147/CCID.S137527. eCollection 2018.

Current treatment options for acanthosis nigricans.

Clinical, cosmetic and investigational dermatology

Nupur U Patel, Catherine Roach, Hossein Alinia, William W Huang, Steven R Feldman

Affiliations

  1. Department of Dermatology, Center for Dermatology Research, Wake Forest University School of Medicine, Winston-Salem, NC, [email protected].
  2. Department of Pathology, Wake Forest University School of Medicine, Winston-Salem, NC.
  3. Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, USA.

PMID: 30122971 PMCID: PMC6086114 DOI: 10.2147/CCID.S137527

Abstract

Acanthosis nigricans (AN) is a common dermatologic manifestation of systemic disease that is associated with insulin resistance, diabetes mellitus, obesity, internal malignancy, endocrine disorders, and drug reactions. Treatment of AN primarily focuses on resolution of the underlying disease processes causing the velvety, hyperpigmented, hyperkeratotic plaques found on the skin. While the goal of therapy is to treat the primary cause, cosmetic resolution of AN lesions can be important for patients and their quality of life. Treatment options for AN have not been extensively studied; however, smaller powered clinical trials and case reports exist in the literature. Our review aims to explore and evaluate the current treatment options that exist for AN.

Keywords: acanthosis nigricans; dermatologic condition; dermatology; diabetes; hyperinsulinemia; isotretinoin; malignant acanthosis; metformin; obesity; pseudoacanthosis; topical therapy; tretinoin

Conflict of interest statement

Disclosure Dr Feldman is a speaker for Janssen and Taro. He is a consultant and speaker for Galderma, Stiefel/GlaxoSmithKline, Abbott Labs, and Leo Pharma Inc. Dr Feldman has received grants from Gald

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