Question 1

I've noticed that the skin around my neck has gotten really dark, and when I saw a doctor, they mentioned it might be acanthosis nigricans. They prescribed some medication, but it didn't help much. My sugar and thyroid levels are normal, but I've put on some weight latelyI'm about 5'11" and weigh 85 kgs. Could you shed some light on why this is happening and suggest ways to improve this skin condition?

Accepted Answer

Acanthosis nigricans (AN) is a skin condition characterized by dark, velvety skin patches, typically on the neck, armpits, elbows, knees, or knuckles.

Possible Reasons:

1. Insulin Resistance: Although your sugar levels are normal, insulin resistance can still contribute to AN. As you're overweight, this could be a factor.
2. Hormonal Imbalance: While your thyroid levels are normal, other hormonal imbalances, such as polycystic ovary syndrome (PCOS), can contribute to AN.
3. Genetics: AN can run in families, so there might be a genetic component.
4. Obesity: Your weight could be contributing to the development of AN.

Getting Rid of Acanthosis Nigricans:

1. Weight Loss: Losing weight, particularly around the abdominal area, can help improve insulin sensitivity and reduce AN symptoms. Aim for a healthy weight (around 70-75 kg for your height).
2. Dietary Changes: Focus on whole, unprocessed foods like vegetables, fruits, whole grains, lean proteins, and healthy fats. Avoid sugary drinks and foods high in saturated fats.
3. Exercise Regularly: Engage in moderate-intensity exercise, such as brisk walking, cycling, or swimming, for at least 150 minutes per week.
4. Topical Treatments: Your doctor may prescribe topical creams or ointments containing ingredients like retinoids, hydroquinone, or urea to help lighten the skin.
5. Medications: If your doctor suspects insulin resistance or hormonal imbalances, they may prescribe medications to address these underlying conditions.

Consult Your Doctor:

It's essential to follow up with your doctor to discuss the following:

1. Medication adjustment: Your doctor may need to adjust your medication or add new ones to address the underlying causes.
2. Lifestyle modifications: Your doctor can provide personalized guidance on weight loss, diet, and exercise.
3. Monitoring: Regular check-ups will help your doctor monitor your progress and adjust your treatment plan as needed.

Question 2

I've noticed my skin is getting darker, and I've got these patches with hard, dry areas. I was told it might be macular amyloidosis, so a doctor prescribed glutathione pills and some creams, but I didn't see any improvement and stopped. I'm really worried because I'm not sure if there's a permanent solution to this. Is there a more effective treatment out there?

Accepted Answer

Macular amyloidosis is a chronic skin condition that may not respond well to topical creams alone. However, there are other treatment options available. One option is to use topical corticosteroids to help reduce inflammation and itching. Another option is phototherapy, which involves exposing the affected skin to ultraviolet light. In some cases, oral medications such as antihistamines or immunosuppressants may be prescribed. It's important to consult with a dermatologist to discuss these treatment options and determine the best course of action for your specific case.

Question 3

I'm only 26 but my hair and beard are turning from black to white really fast. How can I stop this and get my natural black hair back? Is there any way to reverse the white hair or would I need surgery for permanent results?

Accepted Answer

While you may not be able to fully reverse the greying of your hair and beard at your age, you can take steps to slow down the process and potentially improve the health of your hair. It's important to remember that genetic factors play a significant role in greying, so complete reversal might not be possible.

It's common to experience initial hair shedding when starting treatments like Folica, but if the hair loss continues or worsens, it's best to stop using it and consult your dermatologist. They may need to adjust your treatment plan.

More Dermatology Health Queries

I'm only 26 but my hair and beard are turning from black to white really fast. How can I stop this and get my natural black hair back? Is there any way to reverse the white hair or would I need surgery for permanent results?

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