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Skin pigmentation

My finger joints n the nail areas including my toe fingers are dark.. Please assist in suggestion...
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Dr. Rasya Dixit
Dermatologist 13 yrs exp Bangalore
Hi You may be having Vit B 12 deficiency. Please get tests for the same.  Darkness may be due to acanthosis as well if you are over weight. Please check serum insulin levels. If both are normal you may benifit from a couple of sessions of chemical peels
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