Conversation: The conversation between human and AI assistant.
[|Human|] My daughter has acanthosis nigricans.  The Dr. Doesnt know if it was due to being on birth control pill or because she has insulin resistance.  She is 11 yr. old and not over weight and otherwise very healthy.  She was on the pill for 1 yr. to regulate her periods.  Since we thought she had dirt on her we are not sure how of if it started before or after she started on the pill.  She stopped the pill in Jan.  can not tell a lot of improvement in the acanthosis nigricans.  Would like a 2nd opinion.  We go back to Dr. Next month.
[|AI|]  Hi, there are many causes of acanthuses Nigerians. DM is one of them. Insulin is major factor for AN. Your daughter is having AN other due to insulin or without because i.e. benign and idiopathic. She should be thoroughly to rule out internal diseases. Apply Whitfield point. Daily at night and vitamin E cream in morning daily. Do wash the neck with salicylic acid face wash. I hope she will be improved... Ok