Volume 33, Issue 2 pp. e160-e161
Brief Report

Hyperpigmented Plaques of the Alar Crease: An Unusual Presentation of Acanthosis Nigricans

Darren Guffey M.D.

Darren Guffey M.D.

Department of Internal Medicine, School of Medicine, University of Virginia, Charlottesville, Virginia

Center for Dermatology Research, Department of Dermatology, School of Medicine, Wake Forest University, Winston-Salem, North Carolina

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Swetha Narahari M.D.

Swetha Narahari M.D.

Center for Dermatology Research, Department of Dermatology, School of Medicine, Wake Forest University, Winston-Salem, North Carolina

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Hossein Alinia M.D.

Corresponding Author

Hossein Alinia M.D.

Center for Dermatology Research, Department of Dermatology, School of Medicine, Wake Forest University, Winston-Salem, North Carolina

Address correspondence to: Hossein Alinia, M.D., Center for Dermatology Research, Department of Dermatology, Wake Forest University School of Medicine, 4618 Country Club Road, Winston-Salem, NC 27104, or e-mail: [email protected].Search for more papers by this author
First published: 10 February 2016
Citations: 3

Abstract

Although acanthosis nigricans of the posterior neck and intertriginous areas is common, acanthosis nigricans of the supra-alar creases is rare. We present the case of an obese 16-year-old African American boy with hyperpigmented plaques along the supra-alar creases of his nose. Clinicians should be aware of this rare manifestation, because newly diagnosed acanthosis nigricans should prompt examination for insulin resistance.

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