The primary care pediatric nurse practitioner notes velvety, brown thickening of skin in the axillae, groin, and neck folds of an adolescent Hispanic female who is overweight. What is the initial step in managing this condition?

Question

Quizplus · Accepted Answer

The condition described is acanthosis nigricans, which is often associated with insulin resistance and can be an early sign of type 2 diabetes mellitus. The initial step in managing this condition involves performing metabolic laboratory tests to assess for underlying insulin resistance or diabetes.

The Primary Care Pediatric Nurse Practitioner Notes Velvety, Brown Thickening