Acanthosis nigricans

neck skin black patches....no pain no any complaint. plz DX and Rx

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Dr Ranjit Kumar Poriya Homeopathy Over Body Wt Patient By Pressure Skin Cracked. Rx Graphitis 30Xbd. Arnica mont 3X, Xbd,
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Sulphur 200 Grafaytes 30
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Acanthosis Nigricans
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YES IT'S A C/O ACANTHOSIS NIGRICANS.... AND REMEMBER IN OLDER PEOPLE IT NORMALLY REFLECTS AN UNDERLYING MALIGNANCY ESPECIALLY OF G. I. T. TUMORS. OTHERWISE IT IS THICKENED, HYPERPIGMENTED SKIN PREDOMINANTLY OF FLEXURES AND IN EARLY LIFE IT IS SEEN IN OBESE INDIVIDUALS WHO HAVE VERY HIGH LEVEL OF INSULIN OWING TO INSULIN RESISTANCE AND TO FURTHER ADD UP IT IS ASSOCIATED WITH HYPERANDROGENISM IN FEMALES. MAIN POINT TREATMENT:- TOPICAL OR ORAL RETINOIDS 0.5 MG /KG/DAY MAY HELP. RETINOIDS ARE SYNTHETIC VIT. A ANALOGUE THAT AFFECT CELL GROWTH AND DIFFERENTIATION. ISOTRETINOIN, DESCRIBED IN THE DOSE AS ABOVE GIVEN FOR 4 MONTH S COURSE. AND REMEMBER BECAUSE OF IT'S TERATOGENICITY IT SHOHULD BE GIVEN CAREFULLY, PARTICULARLY IN PREGNANT LADIES, IN CONSULTATION WITH A DERMATOLOGIST. SO PATIENT HAD TO AVOID PREGNANCY......... BLOOD COUNT, LIVERPOOL BIOCHEMISTRY, AND FASTING LIPIDS NEED TO BE MONITORED DURING THERAPY. REMEMBER RETINOIDS MAY CAUSE DEPRESSION... ACITRETIN IS ANOTHER DRUG BUT IT'S VERY LIPOPHILIC.... LAST BUT NOT THE LEAST PATIENT MUST AVOID PREGNANCY DURING THERAPY AND FOR ONE MONTH AFTER STOPPING THE ISOTRETINOIN AND FOR 2 YEARS AFTER STOPPING ACITRETIN AS IT IS VERY LIPOPHILIC. COURSE OF MEDICINE IS 4 MONTHS...... THANKS....
If you fail. In above medicine Then use arsenic 30 and berb acqua Q external apply
Dx- Acanthosis nigricans .Rx- On totality of symptoms
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Berberis aquifolium Q externally apply
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Manage the DM
Silicia1m
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