• Home
  • diseases
  • Understanding the Causes of Acanthosis Nigricans and How to Overcome It

Understanding the Causes of Acanthosis Nigricans and How to Overcome It

Understanding the Causes of Acanthosis Nigricans and How to Overcome It

Share :


Some people may develop skin discoloration and buildup in specific body areas, such as the neck, armpits, groin, or underarm folds. These changes can appear as thicker, rougher, and wrinkled skin lines. It is important to understand that this condition is not always caused by poor personal hygiene but can also be a sign of Acanthosis nigricans.

 

What is acanthosis nigricans?

Acanthosis nigricans is a skin condition characterized by discoloration and buildup of thick skin in certain areas of the body, such as the neck, armpits, groin, or underarm folds. Acanthosis nigricans is a symptom of a number of underlying medical conditions, including insulin resistance, hormonal disorders, obesity, and side effects from certain medications.

 

Causes of acanthosis nigricans

As mentioned earlier, several medical conditions cause acanthosis nigricans. Learn how these medical conditions can cause acanthosis nigricans.

Insulin resistance

Insulin resistance occurs when muscle, fat, and liver cells no longer respond to insulin properly. Insulin is a hormone produced by the pancreas that helps the body use sugar for energy.

Insulin resistance occurs when cells cannot easily absorb glucose from the blood, resulting in elevated blood sugar levels. In response, the pancreas increases insulin production to balance blood sugar levels.

Excess insulin can cause skin cells to reproduce rapidly. The new skin cells produced tend to contain more melanin in people with more pigmented skin. This increase in melanin causes darker patches of skin than the surrounding skin, known as acanthosis nigricans. The observation of Acanthosis nigricans is an important indicator in the early detection and prevention of diabetes.

Read more: Effective Natural Ingredients For Treating Dark Spot (Hiperpigmentation)

Hormonal disorder

Acanthosis nigricans may also be caused by hormonal disorders such as polycystic ovary syndrome (PCOS), Addison's disease, or thyroid gland disease.

Consumption of certain medications

Certain medications can trigger or worsen Acanthosis nigricans, including:

  • Supplemental insulin
  • Nicotinic acid (to lower cholesterol levels)
  • Birth control pills
  • Diethylstilbestrol (cancer treatment)
  • Human growth hormone
  • Systemic glucocorticoids
  • Thyroid medication
  • Bodybuilding supplements containing hormones or other substances
  • Protease inhibitors (HIV/AIDS treatment)
  • Estrogen therapy

Read more: Characteristics Of Skin Infection And Their Causes

 

How to treat acanthosis nigricans

According to the American Academy of Dermatology, if a dermatologist suspects Acanthosis nigricans, they will recommend an examination. You will be recommended to undergo blood and other medical tests to determine the cause.

The treatment of Acanthosis nigricans depends on what the cause is. Some of them may not require specific treatment; however, treatment is provided to alleviate the symptoms of the underlying cause. Sometimes, a dermatologist may recommend skin whitening creams, laser treatments, antibiotics, antibacterial soaps, or retinoid creams to help clear the skin.

See a doctor or dermatologist if you suspect skin changes similar to acanthosis nigricans. You can also access health consultation services by downloading the Ai Care app from the App Store or Play Store.

Want to know more information about other diseases? Click here!

 

 

Writer : Agatha Writer
Editor :
  • dr. Yuliana Inosensia
Last Updated : Friday, 8 March 2024 | 09:05

Mayo Clinic (2022). Acanthosis nigricans. Available from: https://www.mayoclinic.org/diseases-conditions/acanthosis-nigricans/symptoms-causes/syc-20368983 

Mark F. Brady and Prashanth Rawla (2023). Acanthosis Nigricans. Available from: https://www.ncbi.nlm.nih.gov/books/NBK431057/ 

American Academy of Dermatology Association. Acanthosis Nigricans: https://www.aad.org/public/diseases/a-z/acanthosis-nigricans-treatment 

Janet Barwell (2024). Everything You Need to Know About Acanthosis Nigricans. Available from: https://www.healthline.com/health/acanthosis-nigricans 

National Institute of Diabetes and Digestive and Kidney Diseases (2018). Insulin Resistance & Prediabetes. Available from: https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes/prediabetes-insulin-resistance 

Jayne Leonard (2023). What to know about acanthosis nigricans. Available from: https://www.medicalnewstoday.com/articles/324062 

MSDM. Acanthosis Nigricans in Polycystic Ovary Syndrome. Available from: https://www.msdmanuals.com/home/multimedia/image/acanthosis-nigricans-in-polycystic-ovary-syndrome 

WebMD (2022). Skin and Acanthosis Nigricans. Available from: https://www.webmd.com/skin-problems-and-treatments/acanthosis-nigricans-overview 

Gus Mitchell (2021). Acanthosis nigricans. Available from: https://dermnetnz.org/topics/acanthosis-nigricans 

 

 

 

 

Request history8.1.29PHP Version957msRequest Duration4MBMemory UsageGET {category}/{slug}Route
  • warninglog[16:13:51] LOG.warning: str_contains(): Passing null to parameter #1 ($haystack) of type string is d...
  • warninglog[16:13:51] LOG.warning: str_contains(): Passing null to parameter #1 ($haystack) of type string is d...
  • infolog[16:13:51] LOG.info: Attempting to authenticate with: { "username": "administrator", "url": ...
  • errorlog[16:13:51] LOG.error: Error accessing doctor id: 640021cf1e44db877c0bce23 { "exception": "Undefi...
  • infolog[16:13:51] LOG.info: Attempting to authenticate with: { "username": "administrator", "url": ...
  • Booting (278ms)time
  • Application (679ms)time
  • 1 x Application (71%)
    679ms
    1 x Booting (29%)
    278ms
    11 templates were rendered
    • 1x web.v2.single-post-healthpediasingle-post-healthpedia.blade.php#?blade
    • 1x web.v2.partials.single.breadcrumbbreadcrumb.blade.php#?blade
    • 2x web.partials.single-sharesingle-share.blade.php#?blade
    • 1x web.v2.partials.single.editoreditor.blade.php#?blade
    • 1x web.v2.partials.single.tagstags.blade.php#?blade
    • 1x web.v2.partials.single.referensireferensi.blade.php#?blade
    • 1x web.v2.partials.article-populararticle-popular.blade.php#?blade
    • 1x web.v2.partials.related-articlerelated-article.blade.php#?blade
    • 1x web.v2.partials.healthtopichealthtopic.blade.php#?blade
    • 1x layouts.v2.web_layoutweb_layout.blade.php#?blade
    uri
    GET {category}/{slug}
    middleware
    web
    controller
    App\Http\Controllers\WebController@newSinglePost
    namespace
    App\Http\Controllers
    prefix
    where
    as
    web.new.single.post
    file
    app/Http/Controllers/WebController.php:645-806
    33 statements were executed346ms
    • WebController.php#656aicare_prod_new730μsselect * from `categories` where (`slug` = 'diseases' or `slug_en` = 'diseases') and `categories`.`deleted_at` is null limit 1
      Bindings
      • 0: diseases
      • 1: diseases
      Hints
      • Use SELECT * only if you need all columns from table
      • LIMIT without ORDER BY causes non-deterministic results, depending on the query execution plan
      Backtrace
      • app/Http/Controllers/WebController.php:656
      • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
    • WebController.php#657aicare_prod_new62.61msselect * from `posts` where (`slug` = 'understanding-the-causes-of-acanthosis-nigricans-and-how-to-overcome-it-en' or `slug_en` = 'understanding-the-causes-of-acanthosis-nigricans-and-how-to-overcome-it-en') and `posts`.`deleted_at` is null limit 1
      Bindings
      • 0: understanding-the-causes-of-acanthosis-nigricans-and-how-to-overcome-it-en
      • 1: understanding-the-causes-of-acanthosis-nigricans-and-how-to-overcome-it-en
      Hints
      • Use SELECT * only if you need all columns from table
      • LIMIT without ORDER BY causes non-deterministic results, depending on the query execution plan
      Backtrace
      • app/Http/Controllers/WebController.php:657
      • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
    • WebController.php#703aicare_prod_new39.9msselect * from `posts` where (`slug` = 'understanding-the-causes-of-acanthosis-nigricans-and-how-to-overcome-it-en' or `slug_en` = 'understanding-the-causes-of-acanthosis-nigricans-and-how-to-overcome-it-en') and `status` = 1 and `publish_date` <= '2025-04-28 16:13:51' and `deleted_at` is null and `posts`.`deleted_at` is null limit 1
      Bindings
      • 0: understanding-the-causes-of-acanthosis-nigricans-and-how-to-overcome-it-en
      • 1: understanding-the-causes-of-acanthosis-nigricans-and-how-to-overcome-it-en
      • 2: 1
      • 3: 2025-04-28 16:13:51
      Hints
      • Use SELECT * only if you need all columns from table
      • LIMIT without ORDER BY causes non-deterministic results, depending on the query execution plan
      Backtrace
      • app/Http/Controllers/WebController.php:703
      • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
    • WebController.php#703aicare_prod_new960μsselect `users`.*, `post_editor`.`post_id` as `pivot_post_id`, `post_editor`.`user_id` as `pivot_user_id`, `post_editor`.`created_at` as `pivot_created_at`, `post_editor`.`updated_at` as `pivot_updated_at` from `users` inner join `post_editor` on `users`.`id` = `post_editor`.`user_id` where `post_editor`.`post_id` in (8866)
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • app/Http/Controllers/WebController.php:703
      • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
    • WebController.php#703aicare_prod_new860μsselect `users`.*, `post_english_editors`.`post_id` as `pivot_post_id`, `post_english_editors`.`user_id` as `pivot_user_id`, `post_english_editors`.`created_at` as `pivot_created_at`, `post_english_editors`.`updated_at` as `pivot_updated_at` from `users` inner join `post_english_editors` on `users`.`id` = `post_english_editors`.`user_id` where `post_english_editors`.`post_id` in (8866)
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • app/Http/Controllers/WebController.php:703
      • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
    • WebController.php#703aicare_prod_new5.63msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` in (8866) and `categories`.`deleted_at` is null
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • app/Http/Controllers/WebController.php:703
      • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
    • WebController.php#703aicare_prod_new830μsselect * from `categories` where `categories`.`id` in (0) and `categories`.`deleted_at` is null
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • app/Http/Controllers/WebController.php:703
      • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
    • WebController.php#724aicare_prod_new15.59msselect `tags`.*, `post_tag`.`post_id` as `pivot_post_id`, `post_tag`.`tag_id` as `pivot_tag_id`, `post_tag`.`created_at` as `pivot_created_at`, `post_tag`.`updated_at` as `pivot_updated_at` from `tags` inner join `post_tag` on `tags`.`id` = `post_tag`.`tag_id` where `post_tag`.`post_id` = 8866
      Bindings
      • 0: 8866
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • app/Http/Controllers/WebController.php:724
      • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
    • WebController.php#1362aicare_prod_new12msselect `posts`.*, `post_tag`.`tag_id` as `pivot_tag_id`, `post_tag`.`post_id` as `pivot_post_id` from `posts` inner join `post_tag` on `posts`.`id` = `post_tag`.`post_id` where `post_tag`.`tag_id` = 4115 and `posts`.`deleted_at` is null
      Bindings
      • 0: 4115
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • app/Http/Controllers/WebController.php:1362
      • app/Http/Controllers/WebController.php:735
      • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
    • WebController.php#1362aicare_prod_new10.62msselect `posts`.*, `post_tag`.`tag_id` as `pivot_tag_id`, `post_tag`.`post_id` as `pivot_post_id` from `posts` inner join `post_tag` on `posts`.`id` = `post_tag`.`post_id` where `post_tag`.`tag_id` = 4369 and `posts`.`deleted_at` is null
      Bindings
      • 0: 4369
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • app/Http/Controllers/WebController.php:1362
      • app/Http/Controllers/WebController.php:735
      • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
    • WebController.php#1362aicare_prod_new10.5msselect `posts`.*, `post_tag`.`tag_id` as `pivot_tag_id`, `post_tag`.`post_id` as `pivot_post_id` from `posts` inner join `post_tag` on `posts`.`id` = `post_tag`.`post_id` where `post_tag`.`tag_id` = 5812 and `posts`.`deleted_at` is null
      Bindings
      • 0: 5812
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • app/Http/Controllers/WebController.php:1362
      • app/Http/Controllers/WebController.php:735
      • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
    • WebController.php#1362aicare_prod_new10.71msselect `posts`.*, `post_tag`.`tag_id` as `pivot_tag_id`, `post_tag`.`post_id` as `pivot_post_id` from `posts` inner join `post_tag` on `posts`.`id` = `post_tag`.`post_id` where `post_tag`.`tag_id` = 6417 and `posts`.`deleted_at` is null
      Bindings
      • 0: 6417
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • app/Http/Controllers/WebController.php:1362
      • app/Http/Controllers/WebController.php:735
      • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
    • WebController.php#1362aicare_prod_new10.79msselect `posts`.*, `post_tag`.`tag_id` as `pivot_tag_id`, `post_tag`.`post_id` as `pivot_post_id` from `posts` inner join `post_tag` on `posts`.`id` = `post_tag`.`post_id` where `post_tag`.`tag_id` = 3205 and `posts`.`deleted_at` is null
      Bindings
      • 0: 3205
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • app/Http/Controllers/WebController.php:1362
      • app/Http/Controllers/WebController.php:735
      • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
    • WebController.php#743aicare_prod_new69.7msselect * from `posts` where `status` = 1 and `publish_date` <= '2025-04-28 16:13:51' and `deleted_at` is null and `content_type` = 'article' and `slug_en` != '' and `slug_en` is not null and `posts`.`deleted_at` is null order by RAND() limit 7
      Bindings
      • 0: 1
      • 1: 2025-04-28 16:13:51
      • 2: article
      • 3: 
      Hints
      • Use SELECT * only if you need all columns from table
      • ORDER BY RAND() is slow, try to avoid if you can. You can read this or this
      • The != operator is not standard. Use the <> operator to test for inequality instead.
      Backtrace
      • app/Http/Controllers/WebController.php:743
      • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
    • CategoryHealtTopics.php#11aicare_prod_new880μsselect * from `categories` where (`slug` != 'penyakit-a-z' and `slug` != 'obat-a-z' and `slug` != 'pemeriksaan-a-z' and `parent_id` = '0') and `categories`.`deleted_at` is null order by `order` asc
      Bindings
      • 0: penyakit-a-z
      • 1: obat-a-z
      • 2: pemeriksaan-a-z
      • 3: 0
      Hints
      • Use SELECT * only if you need all columns from table
      • The != operator is not standard. Use the <> operator to test for inequality instead.
      Backtrace
      • app/Repositories/Categories/CategoryHealtTopics.php:11
      • app/Http/Controllers/WebController.php:744
      • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
    • WebController.php#748aicare_prod_new1.38msselect `healthpedia`.*, `healthpedia_post`.`post_id` as `pivot_post_id`, `healthpedia_post`.`healthpedia_id` as `pivot_healthpedia_id`, `healthpedia_post`.`created_at` as `pivot_created_at`, `healthpedia_post`.`updated_at` as `pivot_updated_at` from `healthpedia` inner join `healthpedia_post` on `healthpedia`.`id` = `healthpedia_post`.`healthpedia_id` where `healthpedia_post`.`post_id` = 8866 and `healthpedia`.`deleted_at` is null
      Bindings
      • 0: 8866
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • app/Http/Controllers/WebController.php:748
      • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
    • WebController.php#779aicare_prod_new9.03msupdate `posts` set `views_count` = 498 where `id` = 8866
      Bindings
      • 0: 498
      • 1: 8866
      Backtrace
      • app/Http/Controllers/WebController.php:779
      • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:260
      • vendor/laravel/framework/src/Illuminate/Routing/Route.php:205
    • ActivityLogger.php#174aicare_prod_new5.38msinsert into `activity_log` (`log_name`, `properties`, `batch_uuid`, `event`, `subject_id`, `subject_type`, `description`, `updated_at`, `created_at`) values ('default', '[]', null, 'updated', 8866, 'App\\Models\\Admin\\Post', 'updated', '2025-04-28 16:13:51', '2025-04-28 16:13:51')
      Bindings
      • 0: default
      • 1: []
      • 2: 
      • 3: updated
      • 4: 8866
      • 5: App\Models\Admin\Post
      • 6: updated
      • 7: 2025-04-28 16:13:51
      • 8: 2025-04-28 16:13:51
      Backtrace
      • vendor/spatie/laravel-activitylog/src/ActivityLogger.php:174
      • vendor/spatie/laravel-activitylog/src/Traits/LogsActivity.php:88
      • app/Http/Controllers/WebController.php:779
      • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
    • single-post-healthpedia.blade.php#37aicare_prod_new790μsselect * from `users` where `users`.`id` = 20 limit 1
      Bindings
      • 0: 20
      Hints
      • Use SELECT * only if you need all columns from table
      • LIMIT without ORDER BY causes non-deterministic results, depending on the query execution plan
      Backtrace
      • view::web.v2.single-post-healthpedia:37
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • article-popular.blade.php#15aicare_prod_new6.03msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 9978 and `categories`.`deleted_at` is null
      Bindings
      • 0: 9978
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.article-popular:15
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • article-popular.blade.php#15aicare_prod_new6msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 9546 and `categories`.`deleted_at` is null
      Bindings
      • 0: 9546
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.article-popular:15
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • article-popular.blade.php#15aicare_prod_new6.36msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 8683 and `categories`.`deleted_at` is null
      Bindings
      • 0: 8683
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.article-popular:15
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • article-popular.blade.php#15aicare_prod_new6.46msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 10130 and `categories`.`deleted_at` is null
      Bindings
      • 0: 10130
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.article-popular:15
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • article-popular.blade.php#15aicare_prod_new6.44msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 9501 and `categories`.`deleted_at` is null
      Bindings
      • 0: 9501
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.article-popular:15
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • article-popular.blade.php#15aicare_prod_new6.03msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 8120 and `categories`.`deleted_at` is null
      Bindings
      • 0: 8120
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.article-popular:15
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • article-popular.blade.php#15aicare_prod_new6.47msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 9967 and `categories`.`deleted_at` is null
      Bindings
      • 0: 9967
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.article-popular:15
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • related-article.blade.php#15aicare_prod_new6.17msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 9122 and `categories`.`deleted_at` is null
      Bindings
      • 0: 9122
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.related-article:15
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • related-article.blade.php#15aicare_prod_new8.44msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 9335 and `categories`.`deleted_at` is null
      Bindings
      • 0: 9335
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.related-article:15
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • related-article.blade.php#15aicare_prod_new7.61msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 8592 and `categories`.`deleted_at` is null
      Bindings
      • 0: 8592
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.related-article:15
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • related-article.blade.php#15aicare_prod_new7.77msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 6965 and `categories`.`deleted_at` is null
      Bindings
      • 0: 6965
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.related-article:15
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • web_layout.blade.php#122aicare_prod_new1.32msselect * from `pages` where `slug` = 'about-us' limit 1
      Bindings
      • 0: about-us
      Hints
      • Use SELECT * only if you need all columns from table
      • LIMIT without ORDER BY causes non-deterministic results, depending on the query execution plan
      Backtrace
      • view::layouts.v2.web_layout:122
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • web_layout.blade.php#549aicare_prod_new950μsselect * from `faqs` where `name_en` is not null and `slug_en` is not null limit 1
      Hints
      • Use SELECT * only if you need all columns from table
      • LIMIT without ORDER BY causes non-deterministic results, depending on the query execution plan
      Backtrace
      • view::layouts.v2.web_layout:549
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • web_layout.blade.php#551aicare_prod_new1.23msselect * from `term_policies`
      Hints
      • Use SELECT * only if you need all columns from table
      • The SELECT statement has no WHERE clause and could examine many more rows than intended
      Backtrace
      • view::layouts.v2.web_layout:551
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    App\Models\Admin\Post
    35Post.php#?
    App\Models\Admin\Category
    19Category.php#?
    App\Models\Admin\Tag
    5Tag.php#?
    App\User
    3User.php#?
    App\Models\TermPolicy
    3TermPolicy.php#?
    App\Models\Admin\Page
    1Page.php#?
    App\Models\Admin\Faq
    1Faq.php#?
        locale
        en
        _token
        wtoDZAOxutVzX0jy51tEnjqoZY9KXoqnAnNSsOBO
        _previous
        array:1 [ "url" => "https://ai-care.atmatech.id/diseases/understanding-the-causes-of-acanthosis-ni...
        _flash
        array:2 [ "old" => [] "new" => [] ]
        path_info
        /diseases/understanding-the-causes-of-acanthosis-nigricans-and-how-to-overcome-it-en
        status_code
        200
        
        status_text
        OK
        format
        html
        content_type
        text/html; charset=UTF-8
        request_query
        []
        
        request_request
        []
        
        request_headers
        0 of 0
        array:19 [ "accept-encoding" => array:1 [ 0 => "gzip, deflate, br, zstd" ] "sec-fetch-dest" => array:1 [ 0 => "document" ] "sec-fetch-user" => array:1 [ 0 => "?1" ] "sec-fetch-mode" => array:1 [ 0 => "navigate" ] "sec-fetch-site" => array:1 [ 0 => "none" ] "accept" => array:1 [ 0 => "text/html,application/xhtml+xml,application/xml;q=0.9,image/avif,image/webp,image/apng,*/*;q=0.8,application/signed-exchange;v=b3;q=0.7" ] "user-agent" => array:1 [ 0 => "Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)" ] "upgrade-insecure-requests" => array:1 [ 0 => "1" ] "sec-ch-ua-platform" => array:1 [ 0 => ""Windows"" ] "sec-ch-ua-mobile" => array:1 [ 0 => "?0" ] "sec-ch-ua" => array:1 [ 0 => ""HeadlessChrome";v="129", "Not=A?Brand";v="8", "Chromium";v="129"" ] "cache-control" => array:1 [ 0 => "no-cache" ] "pragma" => array:1 [ 0 => "no-cache" ] "x-real-ip" => array:1 [ 0 => "18.222.233.22" ] "x-forwarded-for" => array:1 [ 0 => "18.222.233.22" ] "x-forwarded-proto" => array:1 [ 0 => "https" ] "x-forwarded-scheme" => array:1 [ 0 => "https" ] "host" => array:1 [ 0 => "ai-care.atmatech.id" ] "connection" => array:1 [ 0 => "keep-alive" ] ]
        request_cookies
        []
        
        response_headers
        0 of 0
        array:5 [ "content-type" => array:1 [ 0 => "text/html; charset=UTF-8" ] "cache-control" => array:1 [ 0 => "no-cache, private" ] "date" => array:1 [ 0 => "Mon, 28 Apr 2025 09:13:52 GMT" ] "set-cookie" => array:2 [ 0 => "XSRF-TOKEN=eyJpdiI6ImFtcldQbzZqWlZKTWVHdTJCT0dtaUE9PSIsInZhbHVlIjoiRzRMU1I1Y08zSHB0bjM1N1NWY2h5RURVQk5ycjFJeEdJUlpCQzNFV2E4cTJwQzUzQXEvRmxQbTUvNnFXaDhkS1kxVGwvTmIwdG9qLzQwSGVSV29tVXlaOG92czhTV0lWN1BTMmV0WTNRZFBCVlFsMlpzSEZ0RUlmNkw3TDc5K2kiLCJtYWMiOiI4NmY1OTg2YTU0ZWJiYzQ4NzQwZmEwNWU5NTAxYTliYWI2YjM2OTkxNjBjY2I5M2Y2ZmNkMTRiMTY3NGIwMjUzIiwidGFnIjoiIn0%3D; expires=Mon, 28 Apr 2025 11:13:52 GMT; Max-Age=7200; path=/; secureXSRF-TOKEN=eyJpdiI6ImFtcldQbzZqWlZKTWVHdTJCT0dtaUE9PSIsInZhbHVlIjoiRzRMU1I1Y08zSHB0bjM1N1NWY2h5RURVQk5ycjFJeEdJUlpCQzNFV2E4cTJwQzUzQXEvRmxQbTUvNnFXaDhkS1kxVGwvT" 1 => "laravel_session=eyJpdiI6IlVmZll6MjI4ZTdKeXFRcDloWC9ObXc9PSIsInZhbHVlIjoiTEdIaUM4bzdzWHBuL0lZZEIxVnZhVkxMY2tpYWY5Mm9WekhubTJnWklvS1oyVEtFUUpWa1RsUXJMUVhwbVBqRGxZckxObHpTNTB4dmRqb2R5SlpGRTMvRThpQXB6dURaYXpXU1BxeVd2WlBTajNPMHB1a1FjOFdrRjhVSFpYVnYiLCJtYWMiOiI5MjQzMmMxMmVjMTI2NDg2Y2ExNmYzYmE3OGQxZjY1NzcyZGY0YTQ0ODRjYzQ3M2I5NjM1MmVjZDZkMjlkY2I4IiwidGFnIjoiIn0%3D; expires=Mon, 28 Apr 2025 11:13:52 GMT; Max-Age=7200; path=/; httponlylaravel_session=eyJpdiI6IlVmZll6MjI4ZTdKeXFRcDloWC9ObXc9PSIsInZhbHVlIjoiTEdIaUM4bzdzWHBuL0lZZEIxVnZhVkxMY2tpYWY5Mm9WekhubTJnWklvS1oyVEtFUUpWa1RsUXJMUVhwbVBqRGxZ" ] "Set-Cookie" => array:2 [ 0 => "XSRF-TOKEN=eyJpdiI6ImFtcldQbzZqWlZKTWVHdTJCT0dtaUE9PSIsInZhbHVlIjoiRzRMU1I1Y08zSHB0bjM1N1NWY2h5RURVQk5ycjFJeEdJUlpCQzNFV2E4cTJwQzUzQXEvRmxQbTUvNnFXaDhkS1kxVGwvTmIwdG9qLzQwSGVSV29tVXlaOG92czhTV0lWN1BTMmV0WTNRZFBCVlFsMlpzSEZ0RUlmNkw3TDc5K2kiLCJtYWMiOiI4NmY1OTg2YTU0ZWJiYzQ4NzQwZmEwNWU5NTAxYTliYWI2YjM2OTkxNjBjY2I5M2Y2ZmNkMTRiMTY3NGIwMjUzIiwidGFnIjoiIn0%3D; expires=Mon, 28-Apr-2025 11:13:52 GMT; path=/; secureXSRF-TOKEN=eyJpdiI6ImFtcldQbzZqWlZKTWVHdTJCT0dtaUE9PSIsInZhbHVlIjoiRzRMU1I1Y08zSHB0bjM1N1NWY2h5RURVQk5ycjFJeEdJUlpCQzNFV2E4cTJwQzUzQXEvRmxQbTUvNnFXaDhkS1kxVGwvT" 1 => "laravel_session=eyJpdiI6IlVmZll6MjI4ZTdKeXFRcDloWC9ObXc9PSIsInZhbHVlIjoiTEdIaUM4bzdzWHBuL0lZZEIxVnZhVkxMY2tpYWY5Mm9WekhubTJnWklvS1oyVEtFUUpWa1RsUXJMUVhwbVBqRGxZckxObHpTNTB4dmRqb2R5SlpGRTMvRThpQXB6dURaYXpXU1BxeVd2WlBTajNPMHB1a1FjOFdrRjhVSFpYVnYiLCJtYWMiOiI5MjQzMmMxMmVjMTI2NDg2Y2ExNmYzYmE3OGQxZjY1NzcyZGY0YTQ0ODRjYzQ3M2I5NjM1MmVjZDZkMjlkY2I4IiwidGFnIjoiIn0%3D; expires=Mon, 28-Apr-2025 11:13:52 GMT; path=/; httponlylaravel_session=eyJpdiI6IlVmZll6MjI4ZTdKeXFRcDloWC9ObXc9PSIsInZhbHVlIjoiTEdIaUM4bzdzWHBuL0lZZEIxVnZhVkxMY2tpYWY5Mm9WekhubTJnWklvS1oyVEtFUUpWa1RsUXJMUVhwbVBqRGxZ" ] ]
        session_attributes
        0 of 0
        array:4 [ "locale" => "en" "_token" => "wtoDZAOxutVzX0jy51tEnjqoZY9KXoqnAnNSsOBO" "_previous" => array:1 [ "url" => "https://ai-care.atmatech.id/diseases/understanding-the-causes-of-acanthosis-nigricans-and-how-to-overcome-it-en" ] "_flash" => array:2 [ "old" => [] "new" => [] ] ]
        ClearShow all
        Date ↕MethodURLData
        #12025-04-28 16:13:52GET/diseases/understanding-the-causes-of-acanthosis-nigricans-and-how-to-overcome-it-en5113367