Conversation: The conversation between human and AI assistant.
[|Human|] i am a 19 yrs female.....my problem is dat i m having pigmention on my back body.... waist ,butt and inner thighs.......and my underarms are dark too.......i have dark finger joints and some pigmentation around my around.....can i get rid off this by some treatments or creams.....its really frustrating...............plzzzzzzz help.............
[|AI|]  Hi, In your case one can think either of Addison pigmentation or acanthuses Nigerians. The first one is associated with blood pressure changes, variable heart rate, weight loss nausea vomiting and skin pigmentation. The diagnosis can be made with serum cortisol, serum sodium and serum potassium levels. Acanthuses can either be solitary occurrence or might be associated with Pod where in excessive hair growth and irregular periods are associated, and it can be ruled out with pelvic ultrasound and hormonal tests. As you haven't mentioned any other complaints, I presume you are having acanthuses. It can be treated to some extent with creams containing tretinoinor glycolic acid or HY Chat Doctor. Glycolic acid, TCA peels can be used at some areas. A good emollient is also required to keep the skin supple. Lasers and microdermabrasion can also be tried. However, as the disease seems to be extensive, kindly consult your dermatologist to decide upon the treatment.