Acanthosis nigricans

30 Y Male Patient Complaint Chief Complaints Hyper pigmented Patches Around the neck With slightly thickend Skin With out any Itching,Pus discharge From 10 Years Management Suggest me managment In Ayurveda

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Pics please

No Pictures taken doc next visit of patient i will update
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Sukshma triphala, mahamanjishtadi kadha, masur dal powder wid milk for local app or even shade cream

Thank you doctor
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Is patient diabetic??? 1st rule out the cause

No Doc Diabeticprofile is Normal Checked Last month
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use mahamanjishtadhi khada and even shade ointment for ext use

Thank you doctor
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