Most patients who have the more limited and slower-onset facial acanthosis nigricans are obese and have hyperinsulinemia; that’s the kind of hyperpigmentation that usually develops over the temples and forehead. In one reported case, however, a non-obese child with no known endocrine abnormalities or underlying malignancy had acanthosis nigricans in the alar and melolabial folds.
How Is It Treated?
Aesthetic treatment is generally ineffective, although lactic acid, topical urea, salicylic acid, calcipotriol, and retinoids have all been used with anecdotal success. In one reported case, a patient with long-standing facial acanthosis nigricans, which had proved resistant to dermabrasion, tretinoin, calcipotriol, and systemic etretinate, noted aesthetic improvement after carbon dioxide laser resurfacing.
Decreasing overall calories while maintaining a low-fat, high-fiber diet will help patients lose weight. This, in turn, will help reduce blood sugar levels. The addition of an aerobic exercise program to a balanced diet will help to further aid weight loss and blood sugar reduction.
Dark Spots Around Your Cheeks & Neck: How Harmful Are They? was originally published on blackdoctor.org
