A 13-year-old girl presented to a dermatologist with complaints of skin changes, including the formation of folds around her neck. She reported that the folds worsened over the last 18 months. This has resulted in abuse from her peers who used to bully the patient by mentioning that her neck was ‘dirty’.
Family history Mother had type 2 diabetes mellitus, and her father had asthma. On examination Overweight and had irregular menses Height: 163 cm; Weight: 97.5 kg; Body Mass Index (BMI): 37 kg/m2 Blood Pressure: 140/85 mmHg Symmetrical hyperpigmented velvety thickened papillomatous plaques around the neck Posterior and lateral scattered skin tags (acrochordons) around the neck, as well as in the axillae (as shown in the attached figure) and groin Comedonal acne over face and chest: Mild-to-moderately severe Longitudinal striae over lower abdomen and thighs No signs of hirsutism Source:…
