A Rare Case: A Giant Acrochordon and Skin Ulcer Due to the Traction of Acrochordon

often small and skin colored, and located anywhere on the body surface area despite mostly seen in the axillary and neck. Acrochordons are also known by names such as fibroepithelial polyp, skin tags, soft fibroma. It is one of the most common skin lesions.1 They are stalked lesions which are often seen in the neck and armpit.2 Several studies have revealed an association of acrochordons with conditions such as obesity, diabetes mellitus, atherogenic lipid profile, acromegaly and Crohn’s disease.3 Acrochordons are generally more common in overweight individuals. It has been suggested that hyperinsulinemia and increased leptin levels may play a role in the development of acrochordon in overweight individuals.4 It has been reported that acrochordons are closely associated with conditions leading to hyperinsulinemia such as metabolic syndrome (MetS) and may play a role in the early diagnosis of MetS.3,5 Acanthosis nigricans is common in obese and diabetic patients, therefore it is likely to be associated with acrocordon.6