Acanthosis NigricansParaneoplastic SyndromesHyperpigmentationHyperandrogenismLipodystrophy, Congenital GeneralizedInsulinCraniofacial DysostosisHand DermatosesHirsutismSouthwestern United StatesInsulin ResistanceReceptor, Fibroblast Growth Factor, Type 3Receptor, InsulinOligomenorrheaLipodystrophyRhizopusNeckHyperinsulinism