[19M] With black dry skin spreading from neck to chest
Patient Description
A 19-year-old male presents with black, dry skin around the neck, which has been spreading to the chest and armpit over the past week. The skin feels dry but is not bumpy. The discoloration appeared suddenly. The patient has not started using any new skincare products, soaps, or laundry detergents, and there have been no recent changes in diet or medications. Recently, the patient experienced a sore throat, headache, and fever for a week. Additionally, the patient has noticed weight gain, increased thirst, and fatigue, but no changes in urination frequency or vision. The patient does not have any pre-existing conditions or chronic illnesses and is not currently taking any medications.
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Arora's Assessment
What might be happening
Based on the information you have provided, a possible diagnosis is:
- Acanthosis Nigricans: This condition is characterized by dark, velvety patches of skin, often found in body folds and creases such as the neck, armpits, and groin. It can be associated with insulin resistance, obesity, and other metabolic conditions.
- Treatment: The primary approach is to address the underlying condition, such as managing blood sugar levels if insulin resistance is present. Topical treatments like retinoids or exfoliating creams may be prescribed by a doctor to improve the appearance of the skin.
What you can do
While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:
- Maintain Good Hygiene: Keep the affected areas clean and dry. Use gentle, fragrance-free cleansers to avoid further irritation.
- Moisturize: Apply a moisturizer to the affected areas to help with dryness. Look for products that contain urea or lactic acid, which can help exfoliate and soften the skin.
- Healthy Diet and Exercise: If weight gain is a concern, adopting a balanced diet and regular exercise routine can help manage weight and improve overall health.
- Monitor Symptoms: Use MDandMe to journal your symptoms, track progress, and get insights. This can be helpful information to share with your healthcare provider.
What you should look out for
Reasons to see a doctor more urgently include:
- Rapid Spread: If the discoloration spreads quickly or becomes more severe.
- Pain or Discomfort: If the affected areas become painful, itchy, or develop open sores.
- Other Symptoms: If you experience other symptoms such as significant weight loss, extreme fatigue, or changes in vision.
Remember, while this information can be helpful, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.
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5 mo ago