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The Diabetes Educator
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Screening for Type 2 Diabetes in Children With Acanthosis Nigricans

Dana S. Hardin, MD

From Ohio State University, Columbus Children's Hospital.

Correspondence to Dana S. Hardin, MD, Ohio State University, Columbus Children's Hospital, 700 Children's Drive, 5th Floor, Columbus, OH 43205 (hardind{at}pediatrics.ohio-state.edu).

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.

The Diabetes Educator, Vol. 32, No. 4, 547-552 (2006)
DOI: 10.1177/0145721706290436
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