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**Acanthosis Nigricans: What You Should Know**

Dark, velvety patches of skin on the back of the neck, armpits, or groin could be a sign of **Acanthosis Nigricans**, a condition linked to insulin resistance and elevated blood sugar levels. Though it may look like dirt, these patches cannot be washed off and signal an underlying health issue rather than poor hygiene.

### Causes

* Insulin resistance (common in prediabetes and type 2 diabetes)
* Obesity, especially in children and adolescents
* Hormonal disorders
* Genetic factors
* Rarely, medications or tumors

### Why It Matters

Acanthosis Nigricans can be an early warning sign of diabetes risk, especially in children and adults with obesity. It is usually painless and non-itchy. If the area is itchy or painful, it might be a different skin condition requiring other treatment.

### What to Do

* Check blood sugar levels with home kits or at pharmacies if you notice these patches.
* Consult a doctor for diagnosis and further testing.
* Not all dark patches are Acanthosis Nigricans; some may be other harmless conditions like Terra Firma-Forme Dermatosis, which can be removed by alcohol swabbing.

### When to See a Doctor

* Sudden appearance or spread of dark patches
* Irritation, itching, or pain in the area
* Family history of diabetes or metabolic conditions
* Other symptoms such as increased thirst, frequent urination, or fatigue

### Prevention & Management

* Healthy, balanced diet with vegetables, whole grains, and lean protein
* Regular physical activity (30 minutes most days)
* Sustainable weight management
* Avoid sugary drinks and processed foods
* Regular health screenings for blood sugar and cholesterol

Addressing the underlying cause is key. In some cases, topical treatments may help, but managing insulin resistance and overall health is the priority.

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