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Skin colour changes
Hello sir my father age 58 his skin colour changes to like this he was diabetic but in control only kindly suggest any tests and tabs or creams or lotions any thanks
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Needs thorough evaluation at thus age.
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Apply moisturizer twice daily
Go for lab tests
Hba1c , LFT, RFT, TFT, vit B12
BP monitoring
Sp02 and pulse rate also
Edema present or not?
Health Tips
consult with me with reports and detailed history.
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Please consult a General Physician in your area for a physical examination. Deep vein thrombosis should be excluded.
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The skin in the second pon the dorsum of hand looks like scaly dry skin looks like kertosis pilaris ?.icthyosis it is associated with neuropathy.
Get HbA1 c ,cbc with peripheral smear,lft ,rft and get local examined by a physician
Next Steps
apply keratolytitics like urea or 5 percent salicylic acid twice dialy .or coconut oil twice dialy for skin hydration .
Health Tips
avoid wetting of the area and use mcr chappals for feet
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Kindly do connect and consult
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Hyperpigmentation is normal in diabetic patients., apply oil twice a day., drink more water , hydration is more important..,
Next Steps
Health Tips
Consult me on Practo for further queries
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Since he is a diabetic patient, it's the most common symptom,advised to check HbA1C test..skin appears to be very dry and advised to moisturize it regularly it could be Dermatitis,advised to take plenty of fluids,keep sugar under control, corticosteroid tropical cream applied only after consulting dermatologist.
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Please consult for physical examination
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It's not uncommon on people with diabetes, continuous using of moisturizer will help , can use Cetaphil body moisturizer over all this dark areas
Next Steps
immediate change in colour will not happen, keep applying moisturizer very very gradually the colour will light
Health Tips
keep hba1c level in optimal control
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Appears like hyperpigmentation of the skin with dryness.Apply olive oil twice daily for a few weeks.Avoid creams containing high potency steroids for long time,as these may thin the skin over the affected area
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Go for routine checkup
Hba1c
FBG AND PPBG
lipid profile
LFT
KFT
VITAMIN B12
TFT
look for any painful limb or numbness or loss of sensations in lower limb
Next Steps
keep your blood glucose within range .
use moisturizer for skin
avoid shoes and use chappal.
Health Tips
consult me with reports
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Need more information like HbA1c status
FBS PPBS level
Detailed treatment history
Any signs of neuropathy??
Next Steps
please share detailed history
Go for USG Doppler for lower limb
Health Tips
you can consult me on practo
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Diabetic dermopathy and acquired ichthyosis.
Apply moisturizer over hands. Need further history for skin discoloration of leg just to rule out cellulitis, if no inflammatory features can be reassuring.
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Looks like dry skin. Please use moisturiser cream like E45.
Get pulses checked in his feet or an ABPI test just in case due to his diabetes.
All the best.
www.jgsr-health-education.in
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From the image:
• Darkening of skin over the hand
• Dry, thickened, rough texture
• Prominent skin lines
• Hyperpigmentation over knuckles
In a 58-year-old diabetic patient, most likely causes are:
Next Steps
Recommended Tests:
✔ HbA1c
✔ Fasting blood sugar
✔ Vitamin B12
✔ Thyroid profile
✔ Liver function test
If pigmentation is also present on:
• Neck
• Underarms
• Groin
Then insulin resistance evaluation is important.
⸻
Treatment Approach:
✔ Strict sugar control
✔ Moisturizer twice daily (urea-based or lactic acid-based cream)
✔ Mild soap only
✔ Vitamin B-complex if deficiency confirmed
If skin is very thick/dark:
• Dermatology evaluation may be needed.
No strong steroid creams unless prescribed.
Health Tips
✔ Apply moisturizer immediately after bathing
✔ Avoid harsh soaps
✔ Drink adequate water
✔ Maintain HbA1c below 7%
✔ Use sunscreen on exposed areas
This appears to be chronic metabolic skin change rather than something dangerous — but in diabetics, proper evaluation is important to prevent progression.
I recommend booking an online consultation so we can review his blood sugar control, lab values, and design a targeted treatment plan rather than just applying creams without addressing the root cause.
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Need more medical history. Kindly consult with me on 94 two six eight six 78 nine six.
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Looks like chronic hyperpigmentation with dryness and thickening, common in long-standing eczema / frictional dermatitis, especially in diabetics.
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Cellulitis, consult superspecialist like general surgeon.
Till than,
Tab Augmentine duo625 three times a day after food for 10 days.
Zerodol sp three times after food for five days.
Montek lc one at night for five days.
Manicure, pedicure by specialist advisable.
There after moisturizer to be applied.
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Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Dear Patient,
Changes in skin color in your father can occur due to various reasons including diabetes-related skin changes, fungal or bacterial infections, eczema, pigmentation disorders, or vascular issues. Since he is diabetic, careful evaluation is important to rule out infections or circulatory problems.
What you should do
- Observe if the skin change is localized or spreading
- Keep the area clean and dry
- Avoid scratching or applying unknown creams
Tests
- Blood sugar (fasting and post-meal) to ensure diabetes is controlled
- Complete blood count (CBC) and liver/kidney function tests
- Skin swab or biopsy if infection or pigmentation disorder is suspected
- Thyroid function tests if there are associated hair or skin changes
Medicines
- Topical antifungal creams if fungal infection is suspected
- Moisturizers or emollients for dry or itchy skin
- Specific prescription creams based on dermatologist evaluation
consult me
- Rapidly spreading or darkening skin patches
- Pain, itching, oozing, or bleeding from affected area
- Any signs of infection like redness, warmth, or fever
For further guidance and personalized treatment you may consult me on Practo anytime.
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Dr. Shaikh Huzaif
General Physician
18 yrs exp
Aurangabad
Please consult
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Dr. Rachna Pande
Internal Medicine
42 yrs exp
Bhopal
Get his serum vit b12 levels, color doppler of feet dine .Meanwhile share any symptoms he has.
Apply cotaryl ointment over the hardened skin , 2 to 3 times daily.
Give him tab neurobion forte one daily for 4 to 6 weeks.
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Dr. Manisha Elsa Varghese
General Physician
3 yrs exp
Kottayam
Seems like long term diabetic skin changes..
Dry skin can also complement..
Use a good moisturiser
Next Steps
Can check HbA1C, lipid profile, fasting thyroid profile, need to look for peripheral pulses, signs of peripheral neuropathy as well
Health Tips
Use a good moisturiser
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Few more details needed for further evaluation. Kindly consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Use dermadew
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Consult to dermatologist
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Harsha Vardhan Reddy
General Physician
6 yrs exp
Bangalore
ITS A DERMOPATHY,WITH DRY SKIN CHANGES AND MILD CELLULITIC CHANGES IN THE LEG .
IF ANY PAIN IN THE LEG BETTER SEE DOC.
Next Steps
FOR DRY SKIN OVER THE HAND USE MOISTURISER.
Health Tips
IF ANY PAIN /REDNESS IN THE LEG BETTER SEE DOC.
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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Dr. Indravijaysinh
General Physician
4 yrs exp
Rajkot
Cbc , s.electrolyte, pt inr , consult for physical examination
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Cellulitis
Pls have physical examination with nearby surgeon
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.