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Acanthosis nigricans is a medical sign characterised by brown-to-black, poorly defined, velvety hyperpigmentation of the skin. [1] It is usually found in body folds, [2] such as the posterior and lateral folds of the neck, the armpits, groin, navel, forehead and other areas.
Dr. Rachel Nazarian, M.D., FAAD, is a board-certified dermatologist with the Schweiger Dermatology group in New York, whose research includes skin disease treatment.
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Hyperpigmentation can be caused by sun damage, inflammation, or other skin injuries, including those related to acne vulgaris. [1] [2] [3]: 854 People with darker skin tones are more prone to hyperpigmentation, especially with excess sun exposure. [4] Many forms of hyperpigmentation are caused by an excess production of melanin. [4]
Dermatosis papulosa nigra (DPN) is a condition of many small, benign skin lesions on the face, a condition generally presenting on dark-skinned individuals. [1]: 638–9 DPN is extremely common, affecting up to 30% of Black people in the US. [2] From a histological perspective, DPN resembles seborrheic keratoses. [3]
Typically, over the upper inner thighs, there is a red raised rash with a scaly well-defined border. There may be some blistering and weeping, and the rash can reach near to the anus . [ 3 ] The distribution is usually on both sides of the groin and the center may be lighter in colour. [ 8 ]
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