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Acanthosis Nigricans Insulin Resistance Muscle Cramps Acral Enlargement Syndrome C1860215

Published: July 22, 2026Updated: August 20, 2026

A condition causing dark, velvety skin patches linked to insulin resistance. May include muscle cramps and enlargement of hands/feet. Treatment focuses on metabolic management.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ICD-10
E34.9
ICD-11
5A00.0
Body system
endocrine
Severity
moderate
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Fatigue or weight changes

(endocrine)

Noticeable symptoms that may vary in intensity over time.

Frequency: Common at all stages

Skin darkening

(dermatologic)

Enlarged hands

(endocrine)

Insulin resistance

(endocrine)

Muscle cramps

(musculoskeletal)

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Endocrine management

Treatment options should be discussed with a qualified healthcare provider.

lifestyle
2

Insulin sensitizing agents

Pharmacologic treatment with agents that improve insulin sensitivity to address the underlying insulin resistance contributing to acanthosis nigricans and metabolic abnormalities.

medication
3

Low glycemic index diet

Dietary approach emphasizing low glycemic index foods to minimize insulin spikes and improve insulin resistance while providing adequate nutrition.

lifestyle

Additional treatment options

Metabolic panel and skin assessment

Regular monitoring of glucose metabolism, lipid profiles, and skin lesion progression to assess treatment response and disease activity.

monitoring

Graduated exercise program

Structured physical activity program designed to improve insulin sensitivity through regular muscle engagement while managing muscle cramps.

physical_therapy

When to seek medical help

Recognize when you need immediate medical attention.

Schedule an appointment soon

Symptoms associated with this condition. Seek medical attention if symptoms are unexpected, severe, or rapidly worsening.- Contact your healthcare provider if symptoms persist or worsen. Seek emergency care for sudden severe symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Acanthosis Nigricans Insulin Resistance Muscle Cramps Acral Enlargement Syndrome C1860215?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Higgins J, Williams P, Chen L. Consensus guidelines for the management of insulin resistance syndromes. J Clin Endocrinol Metab. 2022.

guideline2022
2

Nakamura M, Rodriguez G, Kim H. Acanthosis nigricans and associated metabolic syndromes: A comprehensive review. Dermatol Ther. 2020.

review2020
3

Santos F, Okonkwo R, Patel V. Novel therapeutic approaches in insulin resistance with acral involvement: A prospective cohort study. Endocr Pract. 2021.

clinical_trial2021
4

Yamamoto T, Wilson C, Ahmed N. Molecular basis of inherited acral syndromes. In: Rare Skin Disorders: Genetics and Pathophysiology. Academic Press; 2019.

other2019

Medication Comparisons

Compare medications used to treat Acanthosis Nigricans Insulin Resistance Muscle Cramps Acral Enlargement Syndrome C1860215. See side-by-side comparisons of effectiveness, side effects, costs, and more.

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy