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.
Thank you doctor,
I have attached the pictures of both hands.
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I saw your pictures (attachment removed to protect patient identity). I can see dry skin with pigmentation prominent on 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 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 me. Plan for Q-switch laser sessions after having enough reviews about the technology.
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