Screening for type 2 diabetes in children with acanthosis nigricans.
Acanthosis nigricans is a physical finding of the skin that appears to be a marker for insulin resistance. Because of the association of insulin resistance and type 2 diabetes, acanthosis nigricans may also be a marker for type 2 diabetes. Some states have recommended statewide screening for acanthosis nigricans. However, this has led to a large referral of children to pediatric endocrinologists. Presented is a schema for primary care physicians and school nurses to use as a guideline for referral of children with acanthosis nigricans.
Hardin
Dana S
DS
Ohio State University, Columbus Children's Hospital, 700 Children's Drive, 5th Floor, Columbus, OH 43205, USA. hardind@pediatrics.ohio-state.edu
D000052:Acanthosis Nigricans / Q000150:complications*; D002648:Child; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology*; D005951:Glucose Tolerance Test; D006801:Humans; D007333:Insulin Resistance; D008403:Mass Screening; D010353:Patient Education as Topic; D012573:School Nursing; D013781:Texas