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Portion Name: Week 13 Reflection Quiz A 15-year-old white male presents to the adolescent clinic complaining of the darkening of both axillae. He first noted dark spots in both axillae approximately 10 months ago. These enlarged and became rough, raised, and mildly pruritic. Past medical history is non-revealing. His father recalled having similar skin findings at about the same age. Examination revealed a BMI >98th percentile. Height is 5’9″, and weight is 235 pounds. Both axillae revealed thickened, fissured, nearly black plaques of both axillae with a velvety texture. He is diagnosed with acanthosis nigricans. What is the most common associated factor present in the description of this young man? 1. White race 2. Gender 3. Age 4. Obesity

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