Conversation: The conversation between human and AI assistant.
[|Human|] Hello doctor i am AAAA, suffering from skin disease,i do not have any even complextion through out my body,some part is black and some part is fair,even the same with my face and my forehead is too black compared to my face,could u please suggest me what to use to get rid of this, because am loosing my confidence to do anything with this kind of skin problem.
[|AI|]  Dear Concerned., Thanks for writing to us. As I have not personally examined you, I can only presume probabilities or Differential Diagnosis.1) Hyperkeratosis due to UV rays/Sun tan. As the name suggests that you are an Indian, are brown skinned. Brown skin tans on exposed parts of the body to sun and therefore on covering the exposed parts to sun screening creams which protect the skin from UV rays, the original complexion returns.2) Hyperkeratosis also responds to vitamin C 500 to 1000 mg per day3) Very high Insulin levels as in Insulin resistance /obesity /occult malignancy leads to a condition called Acanthus Nigerians which leads to thick hyperpigmented velvety skin. On removal of the causative factor, the skin returns to normal. Kindly consult a dermatologist for a prescription medicine. A Skin biopsy establishes definitive diagnosis. Wishing you a quick recovery, Chat Doctor.