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There are many other possible causes of acanthosis nigricans, including: Addison's disease, a condition caused by a deficiency of hormones from the adrenal gland Disorders of the pituitary gland within the brain Growth hormone therapy Hypothyroidism (low levels of thyroid hormone caused by lowered activity of the thyroid gland) Oral contraceptives Polycystic ovary syndrome, a hormonal imbalance problem in people assigned female at birth Corticosteroid medications Autoimmune conditions like lupus and Sjogren's syndrome Most people with acanthosis nigricans have an insulin level that is higher than that of people of the same weight who don't have acanthosis nigricans