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

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

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.

Please help.

Answered by Dr. G. S. S. Sandeep

Education:

MD DVL

Professional Bio:

Dr. G.S.S. Sandeep is a Dermatology and a Venereology with 11 years of clinical experience. He completed his MD DVL at Dr. NTR University of Health Sciences. He is specialized in managing diseases related to skin, hair, nails, and some cosmetic problems. Currently, he is practicing in Saanvi's Skin and Hair Clinic, Hyderabad, Telangana.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

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

Thank you.

Patient's Query

Hello doctor,

Thank you for replying.

I have attached the pictures of both hands.

Please help.

Answered by Dr. G. S. S. Sandeep

Education:

MD DVL

Professional Bio:

Dr. G.S.S. Sandeep is a Dermatology and a Venereology with 11 years of clinical experience. He completed his MD DVL at Dr. NTR University of Health Sciences. He is specialized in managing diseases related to skin, hair, nails, and some cosmetic problems. Currently, he is practicing in Saanvi's Skin and Hair Clinic, Hyderabad, Telangana.

This doctor is not available for online consultations on the platform anymore.

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.

I hope this helps.

Thank you.

Medically reviewed by Dr. Nithila. A
Published At June 22, 2019
Reviewed At November 26, 2024

Education:

MD DVL

Professional Bio:

Dr. G.S.S. Sandeep is a Dermatology and a Venereology with 11 years of clinical experience. He completed his MD DVL at Dr. NTR University of Health Sciences. He is specialized in managing diseases related to skin, hair, nails, and some cosmetic problems. Currently, he is practicing in Saanvi's Skin and Hair Clinic, Hyderabad, Telangana.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Nithila A is a Dental Surgeon specializing in providing comprehensive oral healthcare. She focuses on preventive care, routine dental treatments, and patient education to maintain optimal oral health. Known for her compassionate and patient-centered approach, she ensures comfortable and effective dental care tailored to the individual needs of each patient.

This doctor is not available for online consultations on the platform anymore.

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

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Companion

Skin Color Change on Hands Companion

How it works

The skin on the back of your hands changing color, especially with darker knuckles, can be concerning. This section helps you understand a common cause and related factors.

1

Pseudo
Acanthosis

2

Trigger
Condition

3

Family
History

4

Initial
Care

5

Lab
Tests

6

Treatment
Options

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.

Education:

MD DVL

Professional Bio:

Dr. G.S.S. Sandeep is a Dermatology and a Venereology with 11 years of clinical experience. He completed his MD DVL at Dr. NTR University of Health Sciences. He is specialized in managing diseases related to skin, hair, nails, and some cosmetic problems. Currently, he is practicing in Saanvi's Skin and Hair Clinic, Hyderabad, Telangana.

This doctor is not available for online consultations on the platform anymore.

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