Background: The sudden appearance of acanthosis nigricans on
the skin of an individual is highly suggestive of an underlying
clinical disease. However, there is no information on its possible
association with head and neck disease in our environment.Objective:
To determine the prevalence of acanthosis nigricans
and identifying the underlying associated medical and oncologic
factor in an Otorhinolaryngologic, head and neck practice.Method:
This was a 12-month prospective study of patients seen
at Otorhinolaryngology department of University College
Hospital, Ibadan. Relevant clinical, anthropometric and
biochemical information were obtained with an interviewer assisted
questionnaire and data analyzed using descriptive statistics.Results:
Of 764 patients, 85(11.13%) had head and neck
malignancies, 15(1.96%) had diabetes mellitus in addition to the
Otorhinolaryngologic, head and neck diseases. The body mass
index values for male and female ranged from 18.26 – 25.68kg/m2 and 17.94 – 30.25kg/m2 respectively. Only two patients, one with
nasopharyngeal cancer and the other with obesity in addition to
chronic rhinosinusitis had acanthosis nigricans.Conclusion:
Acanthosis nigricans is not common among
Otorhinolaryngologic patients in our clinical setting with a
prevalence of 0.003. Nevertheless, its presence should herald the
suspicion of an underlying metabolic or oncologic disease.