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For children and adolescents, especially those with risk factors such as obesity or a family history of diabetes, these skin changes may also warrant further medical evaluation.

How Is It Diagnosed?

Healthcare professionals can often recognize acanthosis nigricans during a physical examination. Depending on your medical history and symptoms, they may recommend additional tests, including:

  • Blood glucose testing
  • Hemoglobin A1c (HbA1c)
  • Fasting insulin levels
  • Other laboratory tests to evaluate hormonal or metabolic health

These tests help identify any underlying conditions that may require treatment.

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