Dark Neck? Acanthosis Nigricans
HTML-код
- Опубликовано: 27 авг 2024
- Acanthosis nigricans represents increased skin thickness on the neck!
It is often associated with insulin resistance, diabetes, and polycystic ovarian syndrome (PCOS) due to increased insulin-like growth factor (IGF) production. You may want to see your doctor first to make sure there is no underlying disease!
Products Mentioned: www.amazon.com...
The best treatments help to normalize the skin thickness by exfoliating or increasing cell turnover
Retinoids, like differin gel, and exfoliants like amlactin are particularly helpful!
*Affiliate Links Helps to Support the Channel*
As soon as I dropped my sugar levels this went away. Thank you!
how long did you drop your sugar levels for
How long did it take? Just started cutting sugar for a week now (no sweets, starch, juice or sodas) but curious to know when I’ll see major changes.
This is actually true, I too have seemed to noticed that as soon as I drop my sugar levels and start working out the blackness starts to reduce and even the odour from my underarms seem to disappear
@@vm7870 It will take you atleast a month or two to notice a slight difference
For me it's because of elevated insulin levels after eating. When I work out consistently and cut down on sugar and starch, carbohydrates, etc. it goes down
I had these heavily in every crevice of my body where skin folds. Turns out it was due to high blood sugars/PCOS/Prediabetes. Started exercising, cutting back on processed carbs and sugars. I switched to only water and changed my diet. Everything immediately faded into a light brown instead of pitch dark black.
I think i have to do the same i pray i dont have diabetes
Shoot lemme stop being lazy and do this myself
@@BerryBeanFoolery You can do it! It takes time, effort, consistency and commitment! I believe in you! Been doing this for over 10 years now and my whole body has changed. Everywhere used to be pitch black and now I'm light in all those areas. Went from 450 lbs to 205 and am happier now. 💙
How long did it take to see a difference?
@@simlebrity7177 For me personally, it took about a year for solid and consistent weight loss, half a year for skin changes, and 3-4 months for acne and bloating. Everyone's body responds to things differently though, so don't compare your journey to anyone else's journey and timeline. This runs in my family and a few of my other cousins are going through the same thing. They all saw changes but at different time-frames based on how hard and how much they were able to work. Everyone has different schedules/income/time available etc and aren't able to implement all the same changes, diet, exercises etc.
Thank you. Losing weight is probably the most important treatment in most cases. Happy that topical treatment helps with symptoms in the interim.
Yep i have it too dark but after losing some water . The dark was gone but still it is there but not too much like before .
You need to post a longer video riiiight after these short ones. It’s like tease 😂 we need more
Agreed these are videos from his TikTok, he should edit these and add little detail, much appreciated
Ikr plsssssss
I had it very dark. Since I was diagnoced with Diabetes t2 and I manage my blood sugar it has improve soo much!
yea most people with insulin resistance & t2 will face this
Yes I agree
tried explaining this to my doc. mans said i need to get my dirty ass in the shower
My mom scolds me for that
lol
Mum said I need to get my ass in the mf shower
😂😂😂😂
wtf, some of y'all laughing at this but that's extremely unprofessional and ignorant of them.
Please do a longer more detailed video, also regarding knees/elbows and sensetive areas
Yessss!
Yeah, that's why?
I think that dark spots on the knees, elbows or other areas of the body is caused by friction. I used to always be on my knees cleaning (I’m always cleaning) or playing with my kids.
I injured my knee in an accident and ended up having knee surgery. I was not and still not able to kneel and my knees are no longer dark, it went away. I have a bra that I love, I always wear it. The strap rubs on my shoulder and right wear it rubs I have a dark spot. In the winter I wear ankle boots to work. If my boot rubs on my ankle I end up getting a dark ring around the ankle. Once I stop wearing them the dark ring fades.
Honestly the best way to clear this is to work out and clean up your diet. I don’t have PCOS or diabetes and working out helped me out tremendously!
Never knew there's an official name to it. This is super clear, and informative. Thank you, Doctorly!
Hi!! I have PCOS, and my drs never know what to prescribe me. I have dark underarms and the neck area. I'm hoping to try out the cream to see if it'll work. It's so embarrassing at times to have my hair up because people don't understand the condition.
My doc gave me tablet Canthex but I haven't tried it. Will start this week.
hey i have pcos too, same thing w underarms
Fellow PCOS gal checking in! I am going to try what he said. I exfoliate my under arm area twice a week and at night use moisturizer on them to help a bit. I hate hate HATE the darker under arm. I am naturally a ginger. Sooo pale as a ghost which means it really stands out.
I'm also experiencing the same Cyster! 💛
Same here with PCOS, my biggest concern was being able to have kids. I had my first son with the help of IUI and 10 years later had my twins with IVF.
Thank you for this! Would love to see a longer video on it explaining more:)
Yes, that would be super helpful.
Yes! Excellent information need to tell more !!!
I’ve been using the CeraVe cream and so far the skin is smoother visibly and by touch. As far as lighting I noticed when I cut out carbs the skin lightens so I may have an underlying condition
Which cerave cream you been using ?
Cut all sugar including carbs
@@Parvinahad the one that says for rough and bumpy skin
It’s not “rarely” associated with diabetes. There is a high prevalence rate, about >75% of uncontrolled insulin resistant individuals have this.
All four of my brothers has it. Thank you Dr. Shah. Now I know what to gift them.
My dermatologist told me to completely cut out sugar and she said that she had a patient did that and it went away completely
Did it work for you?
@@nelgtruth4607 nope, it will only prevent future occurrence or spreading. One way to get rid off it is probably to stop eating (starving) and allow the body to eat itself literally. That’s called Autophagy. But it’s a very slow process as we can’t starve ourselves easily. Check intermittent fasting and autophage
@@yuurishibuya4797 Hi
Thanks for your inputs. I am aware of autophagy. I have done upto 4 days water fast in the past. How many days do you recommend for maximus benefit and how often?
I got rid of my acanthosis by doing keto and intermittent fasting with tons of veggies too and it goes away within two weeks depending on how insulin resistant you are.
Search Dr Berg on RUclips btw because he gives tons of explanation about this and our diet.
I posted this just incase anyone wanted to know!
@@andreiafernandes1970 thanks for the tips. Did you use any products along with the diet to help?
Insulin is a growth hormone, one of the reason for skin thickness is due to excess insulin in 10+ years of obesity and insulin resistance phase. Skin Tags are good indicators that a person in next decade or so will have a failing pancreas.
One question : if you become vegetarian or vegan will help to avoid these health problems?
Thank you.
@@elenoftroy9377 nope. One of the reason for Insulin to trigger is the presence of glucose in blood and carbs are directly responsible for it.
Check out “Low Carb Down Under” channel on RUclips, doctors have presented it nicely.
Dr. Paul Mason - ‘Low carb from a Doctor’s perspective’ is a good video to get correct information.
@@yuurishibuya4797 Thank so much, I will take a look.😊
@@elenoftroy9377 it’s not that you can’t find proper diet with vegetarian options. It’s better to learn how food affects body.
I always thought being half Filipino and half caucasian would mean these were just stretched out birthmarks ... turns out it's worth looking into! Thanks!
I'm not even obese, complete opposite and ive had it for years at 15.
Do you still have it?
@@mindyoubussines5305 Yes but not as bad as before after I started dieting its very faint, I'm going to buy cream for it as well :)
@@justsonya8196 cool
I have something similar.
But it fades away with rubbing alcohol
(75 %), I'm not sure why .but I was told by Dermatologist it's quite rare . And I most also apply a cream so it does not dehydrate my skin. It almost all gone.
I went to a dermatologist and they put rubbing alcohol on the dark side of the neck . It faded away the pigmentation . I was so shocked cause I've had it for a while and most of my family members are doctors or work in clinics.I was told by the dermatologist that what I had was seen in very few cases . So I was told to apply 75% alcohol or less . Do to is being alacohol I was prescribed a cream to help with dehydrating due to the alcohol. The cream is calle "Ammonium lactate cream 12%"
It works it almost all gone.
If you think you have this you may want to ask you're dermatologist.
Sorry for the bad grammar I'm dumb . ( don't worry I'm still in school) :D lmaoo
Whats the news?
Thanks so much for this video, my son is 13 years old and I been trying every cream . It stared around last year when he was 12 yrs old and it has nothing to do with hygiene.
I always have make sure he uses good soap and scrub his body and moist his body with lotion.
This is really helpful, and it will sure help anyone improve their self esteem ♥️as a mom I will always do so.🙏🏽♥️ Thanks 😊
Well i just use washcloth and change my shower to warm water, and for skin care i put niacinamide, moisturizer, before putting Vaseline on it. In the morning those dead skin cells would just peel away. Bit by bit, my neck and nape are pretty now. Im working the same routine with my other dark areas. It's fine to have this people, there's remedy for it and it's not IMMEDIATELY DIABETES like a lot of doctors say =_=
Please do a video on how to lighten underarm and bikini areas for darker skin tones. Thanks!
love ya content ...plzz make a video on strecth marks in teens
More coming soon!!!
@@Doctorly acne scars pls 😭
And plz one for us oldish people that got strechmarks during pregnancy and breastfeeding. And also it would be Great to know how to milder the effect (since Im 37 and do not feel good showing myself like e.g go to the beach with my kids)....also I find it my responsibility as a mom to give my kids a good selfesteem by that I think that being proud of your body but its hard and sometimes you make changes to feel better sometimes but this is bigger and I know alot of mothers and for that matter men to who suffer from misscoloration in the strechmarks. So please please please make a longer educational video about stretchmarks to loosen up the tabu knot and also give some tips how to treat the strechmarks at home, if possible, or show different alternatives 🙏🙏❤❤
(Im sorry if I did misspell something or wrote wrong)
@@Doctorly is there a medication against skin tags and moles? I also got severe acnes when I was a teenager that left holes in my face. I have done 24 seances of dermabrasion but the scares are still there. The aesthetician told me not to do the laser remedy as it is not safe. Is that true? Thank you
@barry mccaca that's true
This is so 'normal' and regular in my country; 5/6 years ago I visited the dermatologist for another reason. When I told the doctor about my concern for darkened neck and underarm area, he and his assistant exchanged a glance. The doctor looked ashamed and avoided the topic even though he heard me. Then prescribed me for the other condition and told that I might go.
Now I have this skin issue for over 10 years, can't wear t-shirts without collars, can't put on tank tops like my friends and always have to cover these areas. Tried so many home remedies but nothing works. I know people have more severe matters going on but sometimes I can't help being frustrated. Idk what went wrong and how long I have to live with it
Can you do a longer, in-depth videos on the treatment of this please?
Starting Metformin cleared this up mostly for me (I have pcos - insulin resistance type)
They said the metformin have a lot of side effects
@@robinferrell1742 that's correct that it's been said before, however everyone is different. I've found a good routine that works for me and minimizes side affects
my skin on my neck used to be darker than the rest of my body but it was because I didn’t wash my neck. it was so dirty. now, i clean it everyday. my neck looks great.
What u used to clean it cuz regular soap don’t work for me
@@johnnydoe9969 i used regular liquid soap but maybe try bar soap or a scrub.
hopefully it works for you!
@@johnnydoe9969
DAWN and baking soda
If cutting out sugar does,t do it, try the carnivore diet and omitting all plants. As soon as I ate only fatty beef and water, it started to go away. No medication necessary. It's not dirt. Please watch the Dr. Shawn Baker podcast on you tube where he interviews carnivore success stories.
OMG I WAS JUST WONDERING ABOUT THIS YESTERDAY, YOU READ MY MIND,!!!
Would love a full video on this! 👍
Thanks for all the great information and content you guys put out on your channel! Always makes my day 😊💕
My daughter was diagnosed with PCOS she’s 14 and has this. I’m glad we know now and can work with her Dr to control it.
Coukd you please make a video about this. I have this condition and not only on the nape of my neck but between my breast as well. I know its probably because I'm on the bigger side but I would like to learn about creams or diet plans that could help. This has depleted my confidence tremendously. I've cried about this more times than I can count.
It usually caused by insulin resistance which is related to diabetes and/or PCOS. The best way to treat this is to eat a low carb diet. Your blood sugar and insulin should eventually drop to normal levels. There are medications to help as well. You should double check with a doctor what your insulin, fasting blood sugar and A1c are. If you have issues with menstruation or hormonal type issues - have a gynecologist check you hormone levels and ovaries for PCOS. Your GP will be able to guide you since everyone is different.
The exfoliants mentioned in the video should help topically. It’s not dirt, so scrubbing the skin doesn’t make a difference.
Omg me tooo it's the worst mine seems to be spreading or maybe I'm just paranoid
@@natashakassie8867 mine feels like it’s getting darker
Can you plzz suggest a proper routine to get rid of this. Because i have this and its too embarrassing, want to get rid of it soon
cut out sugar and carbs.... automatically it will fade away...
@@stayhumble1778 really
@@Panjtoori Yes!
@@Panjtoori yes....
@@stayhumble1778 yeah and try and lose some fat if your overweight and maintain an extremely healthy diet with 0 sugar or carbs. Many said by doing this it went away in less than 3 months. Am starting this very moment and will keep you guys updated for motivation. Join me if you want!
Would LOVE if you had a video pertaining to women with PCOS and skincare. Dark skin, acne due to over oil production and increased facial hair. Any tips or tricks?
I used to have this when I was in elementary school. I got bullied all the time for it and no one wanted to sit by me. It got so bad that I came home crying to my parents and they set me up a doctor's appointment. The doctor gave me a special cream and within a week or so it was gone. So thankful for that doctor and for my parents listening to me. 🖤
What was the name of the cream?
Thank you. Honestly thank you so much. I scrub myself red because I think its dirt.
Omg same
Honestly this guy is more helpful than 99% of the dermatologists I've been too
So you’re telling me that I’ve been actually doing it right? I’ve been putting an AHA/BHA toner on my face and neck. So I was like, what the heck? It does actually soften it. It really does work.
What brand do you use?
@@ulisesphs Paula’s choice
@@Mary-sh2bpwhat is it called & where could I buy it & how much do I use & does it work?
@@rarebreed345 Paula’s choice bha toner. Start little by a patch test. It’s strong, so start small.
I've had these under my armpits for years. Everyone always makes fun of them. I'm glad knowing I can get rid of it
How??
@@tasfiahaque9624 how what?
@@Enjoythesilence21 like how you get rid of it?
I’ve had this for YEARs since I was fairly young. At some point it went away but it came back. Thanks so much for this
😮oh my gosh my grandchildren have this... kept thinking it's from not washing aaww! Poor kiddos now we know... thank you.
I'm facing this problem right from my childhood itself... still fighting towards it ...but it seems never fade🙃
Did it fade?
@@xenosotk8163 yes it does wn you reduce weight ..
Why did I not know this!! I have this and I never knew what it was, I can’t thank you enough I’ll have to try these treatments you recommended
I got these for my hormonal problems after u finish my treatment I came back to normal
Rarely but every doctor my friend saw told her it is a warning that she will likely get diabetes.
I'm not diabetic and neither I am gonna be, but I have it because it's genetic.
Remember, in the video he said rarely associated. Although people with diabetes can get this, there are many MANY other reasons why someone has this, such as PCOS, not taking care of neck skin (exfoliating and washing and whatnot, the neck builds up sweat a lot more than the rest of the body, and being overweight will heighten this), etc.
This might be true in case of white people (racially white) , but it's so common in people of color
And I have seen diabetic patients who have been suffering from severe to moderate diabetes for 15-20 years and they have no dark spots at all. And I have had these dark patches since I was 8, and now I am 27, I don't have diabetes or PCOS, my menstrual cycle is perfect, and when I started getting these patches I was underweight if this is associated with diabetes I would have already died.
@@pavacrista5342If you get to know anything please tell me also..as I have the same problem
Home remedy is wash neck with baking soda sugar scrub. Then add leave on Aloe Vera. Daily exercise, eat less carbs. Neck will lighten up tremendously.
Basically convinced at this point that I have PCOS. I've had a suspicion that I have some kind of hormone imbalance or the like since I was 13 but the clues just keep piling up.
Wish my parents gave a damn about my worries.
When I was 14 I had something like that on my neck but slight, doctors told my parents it was because my cholesterol levels were a bit high.
I too have borderline cholesterol .will darkness go after reducing cholesterol?
Actually if noticed early and it does not limit itself to the neck! Regulating prediabetes and insulin resistance is also key besides topical treatments. Usually if it is diabetes the darkening cannot be reversed. Acanthus Nigricans does not limit itself to race too but it was first noticed to those population. Greetings from Athens Greece!
Jesus christ i have this when i was kid and many of kids from my school bullied me because of this, they and finally even i was thinking it was dirt and i dont wash myself properly.. Good to know it wasnt my fault..
Most commonly found in obese people and usually goes away with weight loss. Topical solutions do NOT work because it’s an internal issue
Thank you! I do have pcos and I’m a diabetic been trying to clear it up for the longest I will get the cream and try it out for sure!!
Did it work?
If it's associated with diabetes, I was told by a doctor that you can never get rid of it. 😔
My daughter had it at 13...it was the first sign of an Autoimmune Condition killing her thyroid.
Your videos are really helpful. Can you please do a video on lip hyperpigmentation and that around the mouth? Please
i have a dark neck but it isn't acanthosis nigricans :( i don't have insulin resistance and using retinoids there makes my skin super itchy and sensitive and the skin there isn't thick either. it's as soft as my facial skin. i've been having this darkness since i was a kid and i'm 22 rn, idk what else to do to reduce the darkness over there :( all my other siblings have it too
Me too!! My brother has a dark neck but it’s rough like this video. Mine is almost off colored with a bunch of freckles but it’s soft so I’m not sure that this would do anything. Had it since I was about 11 but maybe it’s my weight
I had it for a long time. My armpits, neck area and the area between my legs were very dark compared to my normal skin tone. It went away after I lost weight and came to a normal BMI.
@@meerars4906 the issue is, i'm in my normal bmi and had always been :( that makes this issue all the more puzzling. i do have eczema though, so i chalked it to frequent scratching of my neck in the past but still, i'm desperate for a proper remedy :')
It can happen for a lot of different reasons, different health problems, medications, and even hygiene can cause darkening of neck and lines and whatnot, (it can also be genetic sometimes) what I would suggest is take care of your neck skin the way you would you face, gentle exfoliate, wash, and moisturize. Don’t be too rough with it and try to have good posture, if after a few weeks it doesn’t start getting better than I would suggest going to your doctor to run some tests cause there may be an underlying cause. I know some medications cause this (not directly but the way they affect your organs will cause this), or just problems in general such as liver issues for example causes darkness on the neck, either in patches, bands or all over. Like for me when I was on heavy medication that was affecting my liver cause it was too much for it to handle it happened and after I was off the meds and my liver healed up it slowly went away and it’s not there anymore. Sorry for the ramble, just know what you’re going through and hoping my 2 cents could help out.
taesfilter also just read your second comment, neck skin is probably the thinnest skin on the body, it’s super delicate and sent I’ve so you gotta be gentle with it, scratching roughly will definitely make it worse/cause skin issues!
Sorry, if I have a patient with An, they're getting a full work up. Until proven otherwise, it's not "usually completely harmless".
I love your videos Dr. Shah. On this particular skin problem and what my doctors have said, it is related to diabetes. Aside from any skin routine, we have to change our eating habits.
Completely agree!
My brother has a black neck from all the dirt And my mom keeps telling him to wash his neck they tried alot of stuff so will be sending to my mom and maybe she'll try it thank u!
but what if I've had it since childhood, is it then genetic?
Do you eat a lot when you’re still young? Like sugars or any refined carbohydrates If not then it could be.
it could be
It cud b due to diabetes in family history, or childhood obesity
I have the same condition since i was child n its sooo annoyinggggg
That’s what I wanna know. I’ve had this issue my whole life and now that I’m an adult I really don’t give a damn what anybody else thinks but it used to be an issue.
I have this and I'm 100% sure it's from my PCOS and diabetes runs in my family
Can you please even suggest some Indian brands, I’m from 🇮🇳
Dr Vanita Rattan has reviewed some. Most US doctors/skincare folks aren't going to be familiar.
I feel like teen girls have this problem a lot from hormones during puberty. I can remember having this on my underarms and my 2 daughters as well. We no longer have this as adults.
I wish I knew this when I was a child. I'm definitely using this on my daughter's knees.
Malignancy on the skin or internal? Thanks for the excellent videos, keep them coming!
I have this due to thyroid disease. It's been this way for 12 years and I don't really have any hope left.
I literally got this question in my exam😂, thankyou doc❤️
hi @doctorly, hope you will see my comment, so the thing is I bought all the 3 ( Cerave diabetic dry skin, Amlactin Ultra smoothing, and tretinoin 0.1%, my question Is it okay to use the 3? like 3x or 2x weekly? also can you please do a tutorial on how to use it? if not then just the two? Cerave and tretinoin? or ultra smoothing and tretinoin. This is for my neck. thank you!
Hi, just wondering has your skin improved already by using all 3 products recommended on the video?
I made my thesis regarding acanthosis nigricans
You wouldn't want to take chances for type 1 diabetes, really, even if it was a reserve of sugars left there you can still get rid of it
Can you explain a bit further what you mean by take chances ?
Please do it more deeply specially for sensitive areas
Maybe checkout Dr. Otto Placik and Dadu Medical Centre.
You could also lose weight (if you are overweight.) I’m currently trying to get rid of this by shedding weight since the medicine that a dermatologist gave me didn’t work as well as I thought.
Please make a detailed video on this. I've dark neck due to pcod. Plz suggest what products should I use to treat them .?
personally when i noticed dark leathery skin on my neck i started washing it everytime i took a shower, as in my neck area was included in the soap and scrubbing etc. It went away. So its true, showering CAN help
What?
So before that you didnt scrub your neck🤣
@@Praise- Lol no
Please make a detailed video about it
I needed to know this. Thank you
Ho my this got a name and it's not badly washed skin. It can also happens during chemotherapy in kid's.
I have this from 2 causes 1: PCOS 2: sunburn scarring. Can’t use anything with menthol on it or my skin will burn.
Good doctor
Me, having a family that’s genetically blessed with type 2 diabetes, just got diagnosed with PCOS a few months ago: **chuckles** well that explains it, I’m in danger
Hi I’m pretty much in the same boat, I’d like to know if and what do you do to treat it or cope with them? I’ve had this problem since I was a kid even when I was skinny. I also have a lot of health problems on both sides of my family. It sucks.
In my case, it just runs in our family on my father's side! It's rare but a genetic type is also a thing 8))
I use to have this darkness on my neck when I was younger. It just all of a sudden went away as an adult 🤷🏽♀️
please make a full video on this
Best treatments is a healthy diet, exercise and consistent weight loss
Wait... So it's not dirt?? My grandma would complain about me having dirt under my neck all the time, even when I scrubbed till it hurt!!!
Worse than dirt. You would be lucky if it was dirt
Yes, I had this as a child and used to scrub my neck raw because I was told it looked "dirty". Very bad for the self esteem of a little girl. 😢
Got rid of this by hitting to gym , sweating out and loosing weight ..
Insulin resistance and not just diabetes. Please provide accurate info.
My family: your neck in dirty
Me: **cutely* *has* *diabeties**
Please do a video on macular amyloidosis. I am really fed and it has caused a total loss of confidence and self worth. What is the best way to atleast lighten it if not cure it
Thanks for the video
I really get insecure cause people stare at it and I always needed to wear a polo tshirt to hide it.
Oh I got a great ministory on this.
Had this on my neck since I was 15. My mom used to help me in the morning since i was lazy. She'd rub my neck with a hard sponge for up to an hour thinking I was always dirty. I am screaming from the pain and never understood why it wouldn't go away.
10 years later in nursing school....
"Mom I hate you....and IM NOT DIRTY!"
My mom + granite stone found by the river+ me and my Acanthosis Nigricans= *pain*
Please make a video on how to prevent nodular acne scarring
It also can be associated with insulin resistance, talk to your dr
One day I woke up and looked at my legs , they had these weird dirt looking patches. The day before I was playing With my chickens , so I thought nothing of it . I took a shower , scrubbing , and shaved . They did not come off .It spreader to my arms. A couple days later I went swimming . It came off ! Hopefully it was nothing that could be to harmful~
And here i thought mf's wouldn't scrub that rough terrain
When I was young my family always told me is that u dont scrub.
Omg I can relate to this so much lol. And whenever I tell my dermatologist regarding this condition they always say that once you lose some weight it will gradually fade away but they didn't tell anything more than that and its so frustrating sometimes!
Best treatment is to lower that blood sugar! PCOS, like diabetes, is associated with insulin resistance
Ding Ding!
Please do a video on eczema please please please
My stupid urgent care doctor tried to tell me my dark neck was from diabetes. I have oily hair. Once I started using shampoo on my neck it stopped.
I'm 17, obese, had this for years, my mom's side of the family does have diabetes and my mom is prediabetic. I apply raw milk sometimes using cotton ball and some dirt like stuff does come out. Could it be Acanthosis nigricans?
It’ll go away cut sugar and do some workout ❤🫶🏾