HomeAnswersDermatologyskin careThe skin on the back of my hands is changing color. What is this?

The skin on the back of my hands is changing color. Why?

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The skin on the back of my hands is changing color. Why?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Nithila. A

Published At June 22, 2019
Reviewed AtJanuary 13, 2024

Patient's Query

Hello doctor,

The skin on the back of my hands is changing color. My skin is dark in some places and lighter in others. My knuckles look darker like they have a black patch. What is this? Currently, I am on Alyacen 1/35. I was taking Ferrous sulfate two pills per day.

Hello,

Welcome to icliniq.com.

If possible forward a few pictures of the affected area to guide you through precisely.

Patient's Query

Thank you doctor,

I have attached the pictures of both hands.

Hello,

Welcome back to icliniq.com.

I saw your pictures (attachment removed to protect patient identity). I can see dry skin with pigmentation prominent on the knuckles. Your concern may be pseudo-acanthosis nigricans. Check your body weight, if you are overweight try to reduce it. If you are using any medication like OCPs (oral contraceptive pills) or anti-asthma medication or any oral steroids they may be a trigger.

Pseudo-acanthosis may run in families as well. Start using Averi moisturizer twice daily after the bath and start Linolenic acid-containing capsules twice daily after food. Check your TSH (thyroid-stimulating hormone) and fasting and postprandial blood sugar levels and report to me. Plan for Q-switch laser sessions after having enough reviews about the technology.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. G. S. S. Sandeep
Dr. G. S. S. Sandeep

Dermatology

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