{"id":6700,"date":"2020-04-22T19:42:53","date_gmt":"2020-04-22T22:42:53","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/acantosis-nigricans\/"},"modified":"2020-04-27T17:07:34","modified_gmt":"2020-04-27T20:07:34","slug":"acanthosis-nigricans","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/acantosis-nigricans\/","title":{"rendered":"Acanthosis nigricans"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/acantosis-nigricans\/#Que-es-acantosis-nigricans\" >What is acanthosis nigricans?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/acantosis-nigricans\/#%C2%BFQue-causa-la-acantosis-nigricans\" >What causes acanthosis nigricans?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/acantosis-nigricans\/#%C2%BFCuales-son-las-caracteristicas-de-la-acantosis-nigricans\" >What are the characteristics of acanthosis nigricans?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/acantosis-nigricans\/#Acantosis-nigricans\" >Acanthosis nigricans<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/acantosis-nigricans\/#%C2%BFCual-es-el-trabajo-para-la-acantosis-nigricans\" >What is the work for acanthosis nigricans?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/acantosis-nigricans\/#%C2%BFCual-es-el-tratamiento-para-la-acantosis-nigricans\" >What is the treatment for acanthosis nigricans?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Que-es-acantosis-nigricans\"><\/span>What is it <span class=\"term\" data-term-id=\"2\">acanthosis<\/span> nigricans?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Acanthosis nigricans is a skin disorder characterized by darkening (<span class=\"term\" data-term-id=\"135\">hyperpigmentation<\/span>) and thickening (<span class=\"term\" data-term-id=\"610\">hyperkeratosis<\/span>) of the skin, which occurs primarily in the skin folds in the armpit (<span class=\"term\" data-term-id=\"572\">armpit<\/span>), groin and back of the neck.<\/p>\n<p>Acanthosis nigricans is not a skin disease per se but a <span class=\"term\" data-term-id=\"47\">cutaneous<\/span> <span class=\"term\" data-term-id=\"899\">sign<\/span> of an underlying condition or disease.<\/p>\n<p>There are two major types of acanthosis: <span class=\"term\" data-term-id=\"22\">benign<\/span> and <span class=\"term\" data-term-id=\"176\">evil one<\/span>. Although it is classically described as a sign of internal <span class=\"term\" data-term-id=\"1742\">malignancy<\/span>This is very extrange. The benign types, sometimes described as \u201cpseudoacanthosis nigricans,\u201d are much more common.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-la-acantosis-nigricans\"><\/span>What causes acanthosis nigricans?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The cause of acanthosis nigricans is not yet clearly defined, but it appears to be related to <span class=\"term\" data-term-id=\"1510\">insulin<\/span> endurance. It has been associated with several benign and malignant conditions. According to the predisposing conditions, acanthosis nigricans has been divided into 7 types.<\/p>\n<table class=\"borders\">\n<tbody>\n<tr>\n<th colspan=\"2\">Types of acanthosis nigricans<\/th>\n<\/tr>\n<tr>\n<th>Kind<\/th>\n<th>Characteristics<\/th>\n<\/tr>\n<tr>\n<td>Acanthosis nigricans associated with obesity<\/td>\n<td>\n<ul>\n<li>Most common type of <span>acanthosis nigricans<\/span>\n<\/li>\n<li>It can occur at any age, but is more common in adulthood.<\/li>\n<li>Obesity often caused by insulin resistance.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Syndromic acanthosis nigricans<\/td>\n<td>\n<ul>\n<li>Defined as <span>acanthosis nigricans<\/span> which is associated with a <span class=\"term\" data-term-id=\"350\">syndrome<\/span>, such as hyperinsulinemia, Cushing&#039;s syndrome, polycystic ovary syndrome, total lipodystrophy, Crouzon syndrome\n<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Benign acanthosis nigricans<\/td>\n<td>\n<ul>\n<li>Also know as <span class=\"term\" data-term-id=\"496\">acral<\/span> acanthotic anomaly<\/li>\n<li>Thick and velvety <span class=\"term\" data-term-id=\"164\">injury<\/span> more prominent over the upper surface of the hands and feet in healthy patients<\/li>\n<li>More common in dark-skinned people, especially those of African American descent.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Drug-induced acanthosis nigricans<\/td>\n<td>\n<ul>\n<li>Uncommon, but <span>acanthosis nigricans<\/span> can be induced by various medications, including nicotinic acid, insulin, <span class=\"term\" data-term-id=\"380\">systemic<\/span> corticosteroids and hormonal treatments<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<span class=\"term\" data-term-id=\"1745\">Hereditary<\/span> benign acanthosis nigricans<\/td>\n<td>\n<ul>\n<li>\n<span>Acanthosis nigricans<\/span> inherited as a <span class=\"term\" data-term-id=\"828\">autosomal<\/span> dominant characteristic<\/li>\n<li>Lesions can manifest at any age, infancy, childhood or adulthood.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Malignant acanthosis nigricans<\/td>\n<td>\n<ul>\n<li>\n<span>Acanthosis nigricans<\/span> associated with internal malignancy<\/li>\n<li>Most common underlying <span class=\"term\" data-term-id=\"30\">Cancer<\/span> it is <span class=\"term\" data-term-id=\"289\">tumor<\/span> of the intestine (90%) especially stomach cancer<\/li>\n<li>In 25-50% cases, lesions are present in the mouth on the tongue and lips.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>Acanthosis nigricans mixed type<\/td>\n<td>\n<ul>\n<li>Patients with a type of <span>acanthosis nigricans<\/span> who also develop new lesions of a different cause, e.g. overweight patient with associated obesity <span>acanthosis nigricans<\/span> who then develops malignant AN<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-de-la-acantosis-nigricans\"><\/span>What are the characteristics of acanthosis nigricans?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ul>\n<li>Thick patches of brown skin with a velvety texture that can appear anywhere but most often appear in skin folds in the armpit, groin, and back of the neck.<\/li>\n<li>\n<span class=\"term\" data-term-id=\"215\">Papillomatosis<\/span> (multiple finger-like growths) is common in cutaneous and <span class=\"term\" data-term-id=\"1018\">mucous membrane<\/span> surfaces<\/li>\n<li>Skin tags are often found in and around the affected areas.<\/li>\n<li>\n<span class=\"term\" data-term-id=\"245\">Pruritus<\/span> (itching) may be present, particularly in acanthosis nigricans associated with malignancy (<span class=\"term\" data-term-id=\"219\">paraneoplastic<\/span> pruritus).<\/li>\n<li>\n<span>Acanthosis nigricans<\/span> Lesions may also appear in the <span class=\"term\" data-term-id=\"188\">mucous<\/span> membranes of the oral, nasal and laryngeal cavities <span class=\"term\" data-term-id=\"189\">mucous membrane<\/span> and esophagus<\/li>\n<li>Lesions involving the mucosa, palms, and soles tend to be more extensive and more severe when malignant. <span>acanthosis nigricans<\/span>.<\/li>\n<li>Patients with malignancy <span>acanthosis nigricans<\/span> They tend to be middle-aged, non-obese, and the lesions develop abruptly.<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Acantosis-nigricans\"><\/span>Acanthosis nigricans<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='acanth-nigricans1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildm2xq-3967933-2533537' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/acanth-nigricans1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDM2XQ-3967933.jpg'>\n<\/div>\n<p class=\"p-small\">Acanthosis nigricans<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='acanth-nigricans2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildm2xq-2271531-7798301' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/acanth-nigricans2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDM2XQ-2271531.jpg'>\n<\/div>\n<p class=\"p-small\">Acanthosis nigricans<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='acanth-nigricans5__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4698775-8392988' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/acanth-nigricans5__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4698775.jpg'>\n<\/div>\n<p class=\"p-small\">Acanthosis nigricans<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='acanth-nigricans6__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9293291-8737632' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/acanth-nigricans6__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9293291.jpg'>\n<\/div>\n<p class=\"p-small\">Acanthosis nigricans<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='acanth-nigricans3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7866012-6122034' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/acanth-nigricans3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7866012.jpg'>\n<\/div>\n<p class=\"p-small\">Acanthosis nigricans<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='acanth-nigricans4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-3707921-3693511' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/acanth-nigricans4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-3707921.jpg'>\n<\/div>\n<p class=\"p-small\">Acanthosis nigricans<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-trabajo-para-la-acantosis-nigricans\"><\/span>What is the work for acanthosis nigricans?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>It is very important to differentiate acanthosis nigricans related to malignancy from that related to benign conditions. Malignant tumors <span>acanthosis nigricans<\/span> They are usually very aggressive and spread quickly. Death often occurs shortly afterward. If it is malignant <span>acanthosis nigricans<\/span> It is suspected that in a patient without known cancer, it is extremely important to perform a thorough workup of the underlying malignancy and identify an occult tumor. If the tumor can be treated successfully, the condition may resolve.<\/p>\n<p>Other causes of <span>acanthosis nigricans<\/span> It can be identified by detecting insulin resistance and diabetes mellitus.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-la-acantosis-nigricans\"><\/span>What is the treatment for acanthosis nigricans?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>the <span class=\"term\" data-term-id=\"949\">primary<\/span> The goal of treatment is to correct the underlying disease process. Correcting the underlying cause often results in resolution of the injuries.<\/p>\n<ul>\n<li>Correct hyperinsulinemia through diet and medications.<\/li>\n<li>Lose weight with associated obesity <span>acanthosis nigricans<\/span>\n<\/li>\n<li>Excise or treat the underlying tumor<\/li>\n<li>Stop Offending Drug-Induced Medications <span>acanthosis nigricans<\/span>\n<\/li>\n<\/ul>\n<p>in hereditary <span>acanthosis nigricans<\/span>, lesions tend to gradually enlarge before stabilizing and\/or returning on their own.<\/p>\n<p>There is no specific treatment for <span>acanthosis nigricans<\/span>. The treatments considered are primarily used to improve cosmetic appearance and include <span class=\"term\" data-term-id=\"1330\">current<\/span> <span class=\"term\" data-term-id=\"762\">retinoids<\/span>, dermabrasion and <span class=\"term\" data-term-id=\"1617\">To be<\/span> therapy.<\/p>\n<p>Final result of <span>acanthosis nigricans<\/span> varies depending on the cause of <span>acanthosis nigricans<\/span>. Benign conditions, either on their own or through lifestyle changes and\/or treatment, have good outcomes. However the <span class=\"term\" data-term-id=\"241\">forecast<\/span> for patients with malignancy <span>acanthosis nigricans<\/span> He is often poor. The associated cancer is often advanced and the average survival of these patients is approximately 2 years.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Que es acantosis nigricans? La acantosis nigricans es un trastorno de la piel caracterizado por oscurecimiento (hiperpigmentaci\u00f3n) y engrosamiento (hiperqueratosis) de la piel, que ocurre principalmente en los pliegues de&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-6700","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6700","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=6700"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6700\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=6700"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=6700"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=6700"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}