Acrochordon in an Obese Woman

January 2, 2005
Robert P. Blereau, MD
Robert P. Blereau, MD

For years, a 60-year-old obese woman with type 2 diabetes mellitus had thiswarty lesion on the outer tarsal plate in the middle of the left upper eyelid.It was asymptomatic. She also had a few asymptomatic epidermal inclusioncysts on the upper and lower eyelids.

For years, a 60-year-old obese woman with type 2 diabetes mellitus had thiswarty lesion on the outer tarsal plate in the middle of the left upper eyelid.It was asymptomatic. She also had a few asymptomatic epidermal inclusioncysts on the upper and lower eyelids.Acrochordons, or skin tags, are associated with diabetes mellitus, dyslipidemia,acromegaly, acanthosis nigricans and, possibly, colon polyps. Themost common sites are the axillae, neck, groin, and eyelids, and the skinbeneath pendulous breasts. Acrochordons are particularly common in overweightwomen; in autopsy series of obese women, approximately 50% werefound to have skin tags.1Treatment of acrochordons is typically for cosmesis only. This patient'slesion was excised in the office under local anesthesia, and its base waslightly electrocoagulated.

References:

REFERENCE:
1.

Weedon D. Skin Pathology. 2nd ed. London: Churchill Livingstone; 2002:921.