Juvenile Acanthosis Nigricans. Presented by DR. THEODORE CORNBLEET, DR. SIDNEY BARSKY, and (by invitation) DR. MARTIN L. GECHT.
A 15-year-old girl states that she has noted increased pigmentation and thickening about her neck for approximately 10 years. Similar areas are seen in the axilla, but the patient does not remember when the hyperpigmentation and thickening in that area began.
X-rays of the skull revealed no abnormalities of the sella turcica.
Biopsy specimen is presented.
Discussion
DR. NORMAN TOBIAS, St. Louis: I am not too sure that this is a case of benign acanthosis nigricans even though this girl is overweight. The lesions are too superficial, and the sections are not too typical. This girl has a seborrheic-like eruption on the face which is similar to the axillary lesions. I feel that the axillary eruption in this case is seborrheic in nature.
DR. IRENE NEUHAUSER: You may
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