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DARKINNER THIGHS , UNERARMS AND NECK
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Skin & Hair Concerns
Question #11357
45 days ago
109

DARKINNER THIGHS , UNERARMS AND NECK - #11357

MANOJ KUAMR NAYAK

Hello Doctor, I am experiencing several skin-related issues and would like your advice. My inner thighs have very dark areas, and the skin there is often sweaty and has an unpleasant smell. When I rub this area, it sometimes feels like dirt or residue comes off. I have noticed similar darkening in my neck and underarms as well. The darkened skin seems persistent and does not improve with regular cleaning. Additionally, I have noticed that my hands have become tanned from sun exposure. I am concerned about the discoloration and whether it could be harmful or related to any underlying condition. I would like to know the possible causes of these dark and smelly areas, including whether it could be due to friction, sweat, infection, or a skin condition. I am also interested in safe ways to lighten these areas if necessary and prevent further darkening. Could you please advise on what tests, treatments, or skin care routines would help improve the condition? I am looking for both medical and preventive suggestions.

Age: 19
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Doctors’ responses

The skin darkening you are experiencing in your inner thighs, neck, and underarms could likely be a result of a condition called acanthosis nigricans, which is often associated with insulin resistance, obesity, hormonal disorders, or sometimes certain medications. The texture, residue, and smell you’re noticing might be related to sweat buildup, friction, or even a mild fungal infection that tends to occur in these areas, particularly in warm, moist environments. For addressing this, first consider seeing a healthcare provider for a thorough examination and possibly some blood tests like fasting blood glucose or an insulin level check to rule out underlying metabolic conditions.

In the meantime, lifestyle modifications are key. Keep the affected areas dry and clean. Wear loose-fitting, breathable clothing to reduce friction and sweating. A gentle exfoliant with ingredients like salicylic acid could help in removing dead skin, but don’t overdo it—a few times a week is enough. For hygiene, use an antibacterial soap, but avoid harsh products that could irritate your skin further. Additionally, maintaining a balanced diet and regular exercise can aid in managing weight and reducing insulin resistance.

In terms of lightening treatments, topical creams containing ingredients like hydroquinone, kojic acid, or glycolic acid may assist in reducing pigmentation. However, consult with a dermatologist before starting any new treatment to avoid skin irritation or allergic reactions. Regarding your concern about tanning from sun exposure, using a broad-spectrum sunscreen with at least SPF 30 can help prevent further discoloration on exposed areas like your hands. If your symptoms persist or worsen despite these measures, do seek medical advice to explore other potential causes, such as thyroid issues or a possibly more serious skin condition.

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