From Chennai, India:
I have a skin problem for the past 15 years, and the doctors do not seem able to diagnose it. The skin becomes thick, dark, dry, but no itching, and there are a lot of tiny dots near the area. Most of the places are at the joints of fingers and toes, and it is spreading further. Recently the tests showed the following: fasting insulin level was normal and blood sugar was 113 mg/dl [6.3 mmol/L].
The doctor says that my body is insulin resistant, and he has termed my skin problem as Acanthosis Nigricans. Is the diagnosis correct?
Given the constraints of the Internet, I cannot be sure that your problem is truly Acanthosis Nigricans. However, this is a common skin lesion seen in individuals who have marked insulin resistance. It is generally described as being around the neck or intertrigenous [skin fold] areas in the groin or knees. It is a raised confluent plaque, often described as velvety in texture. It truly is a marker of the insulin resistance status. Decreased resistance is associated with improved skin findings. However, I am not confident there are other topical treatments which are very helpful.
Original posting 15 Oct 2000
Posted to Complications
Last Updated: Tuesday April 06, 2010 15:09:14
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.
This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
© Children with Diabetes, Inc. 1995-2016. Comments and Feedback.