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©2013 UpToDate ® Print Email Acanthosis nigricans Classic hyperpigmented axillary lesion in acanthosis nigricans. Courtesy of Jeffrey Flier, MD. Acanthosis nigricans A velvety, slightly verrucous plaque is present on the neck.
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Lane SW, Manoharan S, Mollee PN. Palifermin-induced acanthosis nigricans. Intern Med J 2007; 37:417. Lee M, Grassi M. Acanthosis nigricans in a patient treated with palifermin. Cutis 2010; 86:136. Hida Y, Kubo Y, Nishio Y, et al. Malignant acanthosis nigricans with enhanced expression of fibroblast growth factor receptor 3. Acta Derm Venereol 2009; 89:435. Haase I, Hunzelmann N. Activation of epidermal growth factor receptor/ERK signaling correlates with suppressed differentiation in malignant acanthosis nigricans. J Invest Dermatol 2002; 118:891. Koyama S, Ikeda K, Sato M, et al. Transforming growth factor-alpha (TGF alpha)-producing gastric carcinoma with acanthosis nigricans: an endocrine effect of TGF alpha in the pathogenesis of cutaneous paraneoplastic syndrome and epithelial hyperplasia of the esophagus. J Gastroenterol 1997; 32:71. Jeong JS, Lee JY, Yoon TY. Unilateral nevoid acanthosis nigricans with a submammary location. Ann Dermatol 2011; 23:95. Krishnaram AS. Unilateral nevoid acanthosis nigricans and neurofibromatosis 1: an unusual association. Indian J Dermatol Venereol Leprol 2010; 76:715. de Waal AC, van Rossum MM, Bovenschen HJ. Extensive segmental acanthosis nigricans form of epidermal nevus. Dermatol Online J 2010; 16:7. Ersoy-Evans S, Sahin S, Mancini AJ, et al. The acanthosis nigricans form of epidermal nevus. J Am Acad Dermatol 2006; 55:696. Schwartz RA. Acral acanthotic anomaly (AAA). J Am Acad Dermatol 1981; 5:345. Brantsch KD, Moehrle M. Acanthosis nigricans in a patient with sarcoma of unknown origin. J Am Acad Dermatol 2010; 62:527. Thomas M, Radhakrishnan S, Sunny B, et al. Malignant acanthosis nigricans with occult primary. Indian J Dermatol Venereol Leprol 2002; 68:371. Pentenero M, Carrozzo M, Pagano M, Gandolfo S. Oral acanthosis nigricans, tripe palms and sign of leser-trélat in a patient with gastric adenocarcinoma. Int J Dermatol 2004; 43:530. Weedon D. Miscellaneous conditions. In: Weedon's Skin Pathology, 3rd ed, Elsevier Limited, 2010. p.501. Hall JM, Moreland A, Cox GJ, Wade TR. Oral acanthosis nigricans: report of a case and comparison of oral and cutaneous pathology. Am J Dermatopathol 1988; 10:68. Higgins SP, Freemark M, Prose NS. Acanthosis nigricans: a practical approach to evaluation and management. Dermatol Online J 2008; 14:2.
Weedon D. Miscellaneous conditions. In: Weedon's Skin Pathology, 3rd ed, Elsevier Limited, 2010. p.501. Hall JM, Moreland A, Cox GJ, Wade TR. Oral acanthosis nigricans: report of a case and comparison of oral and cutaneous pathology. Am J Dermatopathol 1988; 10:68. Higgins SP, Freemark M, Prose NS. Acanthosis nigricans: a practical approach to evaluation and management. Dermatol Online J 2008; 14:2. Romo A, Benavides S. Treatment options in insulin resistance obesity-related acanthosis nigricans. Ann Pharmacother 2008; 42:1090. Kuroki R, Sadamoto Y, Imamura M, et al. Acanthosis nigricans with severe obesity, insulin resistance and hypothyroidism: improvement by diet control. Dermatology 1999; 198:164. Pasquali R, Antenucci D, Casimirri F, et al. Clinical and hormonal characteristics of obese amenorrheic hyperandrogenic women before and after weight loss. J Clin Endocrinol Metab 1989; 68:173. Hermanns-Lê T, Hermanns JF, Piérard GE. Juvenile acanthosis nigricans and insulin resistance. Pediatr Dermatol 2002; 19:12. Bellot-Rojas P, Posadas-Sanchez R, Caracas-Portilla N, et al. Comparison of metformin versus rosiglitazone in patients with Acanthosis nigricans: a pilot study. J Drugs Dermatol 2006; 5:884. Tankova T, Koev D, Dakovska L, Kirilov G. Therapeutic approach in insulin resistance with acanthosis nigricans. Int J Clin Pract 2002; 56:578. Walling HW, Messingham M, Myers LM, et al. Improvement of acanthosis nigricans on isotretinoin and metformin. J Drugs Dermatol 2003; 2:677. Wasniewska M, Arrigo T, Crisafulli G, et al. Recovery of acanthosis nigricans under prolonged metformin treatment in an adolescent with normal weight. J Endocrinol Invest 2009; 32:939. Lee PJ, Cranston I, Amiel SA, et al. Effect of metformin on glucose disposal and hyperinsulinaemia in a 14-year-old boy with acanthosis nigricans. Horm Res 1997; 48:88. Ellis DL, Kafka SP, Chow JC, et al. Melanoma, growth factors, acanthosis nigricans, the sign of Leser-Trélat, and multiple acrochordons. A possible role for alpha-transforming growth factor in cutaneous paraneoplastic syndromes. N Engl J Med 1987; 317:1582. Vassilopoulou-Sellin R, Cangir A, Samaan NA. Acanthosis nigricans and severe insulin resistance in an adolescent girl with thyroid cancer: clinical response to antineoplastic therapy. Am J Clin Oncol 1992; 15:273.
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Gregoriou S, Anyfandakis V, Kontoleon P, et al. Acanthosis nigricans associated with primary hypogonadism: successful treatment with topical calcipotriol. J Dermatolog Treat 2008; 19:373. Rosenbach A, Ram R. Treatment of Acanthosis nigricans of the axillae using a long-pulsed (5-msec) alexandrite laser. Dermatol Surg 2004; 30:1158. Swineford SL, Drucker CR. Palliative treatment of paraneoplastic acanthosis nigricans and oral florid papillomatosis with retinoids. J Drugs Dermatol 2010; 9:1151. Katz RA. Treatment of acanthosis nigricans with oral isotretinoin. Arch Dermatol 1980; 116:110. Bonnekoh B, Thiele B, Merk H, Mahrle G. [Systemic photochemotherapy (PUVA) in acanthosis nigricans maligna: regression of keratosis, hyperpigmentation and pruritus]. Z Hautkr 1989; 64:1059. Greenwood R, Tring FC. Treatment of malignant acanthosis nigricans with cyproheptadine. Br J Dermatol 1982; 106:697. CURTH HO, HILBERG AW, MACHACEK GF. The site and histology of the cancer associated with malignant acanthosis nigricans. Cancer 1962; 15:364. Topic 13754 Version 1.0 © 2013 UpToDate, Inc. All rights reserved. | Subscription and License Agreement | Release: 21.6- C21.56 Licensed to: AsanBook Dig. Med. Lib. | Support Tag: [1103-89.32.226.102-C070ECA3F8-S244013.14]