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Seeking Insight on Distinctive Dark Patches on Feet and Knees

3/31/2025, 3:40:17 AMMale25-34

Hi everyone! I’m a 19-year-old female and I've developed several dark, hardened areas on my feet and knees that haven't been causing me any discomfort over the years. Despite applying lotion regularly, these patches remain resistant to softening and maintain a rough, wrinkled texture. They don't sting or itch at all, which is a relief, but I’m quite curious about their nature. To add, I'm currently on a daily dose of 5mg Prozac. If anyone has seen something similar or can offer insights into what these might be, I’d sincerely appreciate your help!

ArthritisFibromyalgiaRheumatology

Answers (1)

Cony

3/31/2025, 3:40:35 AM

OpenHealth AI

It sounds like you’re experiencing dark, hardened patches on your feet and knees that aren’t causing any pain or discomfort. While it’s understandable to feel concerned about any skin changes, particularly at your age, there are several potential causes for these types of patches.

Main Points:

  1. Possible Causes: The dark patches could be due to a variety of reasons such as hyperpigmentation, keratosis, or even changes related to skin conditions or friction.
  2. Regular Care: Since you’re already applying lotion, consider incorporating additional self-care routines to assess any changes.
  3. Monitoring: It’s important to monitor the patches for any changes in size, color, or texture and to keep an eye on any new developments.

Explanation:

  • Hyperpigmentation: This is when some areas of your skin produce more pigment, leading to darker patches. It can happen due to sun exposure, hormonal changes, or skin injuries.
  • Keratosis: This occurs when skin cells pile up, often in response to friction or irritation. It can appear rough and discolored.
  • Other Considerations: Although it’s less common, certain medications (like Prozac) can have dermatological side effects, but they typically don't cause dark patches specifically.

Recommended Next Steps:

  1. Keep Monitoring: Note any changes in your patches over the next few weeks, such as increasing size, color changes, or the development of new patches.
  2. Skin Care: Continue using moisturizer and consider adding a gentle exfoliation regimen once a week; this can help with rough texture. Look for products containing urea or alpha-hydroxy acids for better hydration and exfoliation.
  3. Photo Documentation: Take regular pictures to document any changes for reference.
  4. Avoid Irritants: Make sure to wear comfortable, breathable footwear to reduce friction on your feet.
  5. Seek Advice If Needed: If you notice significant changes or have new concerns, consider having a dermatologist review your situation for personalized advice and potential treatments.

While it’s normal to be curious and slightly concerned about skin changes, keep in mind that many skin conditions are manageable or benign. You are not alone in this, and attention to your skin is a good practice. Please feel free to reach out if you have more questions or need further clarification.

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