OpenHealth Q&A

It’s understandable to be concerned about a new skin spot, especially when it seems unusual. The dry, thickened circular area on your shin could be due to several reasons, including irritation, eczema, a fungal infection, or even something like psoriasis, rather than diabetic dermopathy, especially considering your relatively normal HbA1c level.

Here's an overview of common causes:

1. Eczema: This is a common skin condition that can cause dry, itchy patches. It can appear anywhere, including the shins.
2. Psoriasis: A condition that causes the skin to become red and scaly. It can also manifest as dry, thickened patches.
3. Fungal Infections: Conditions like tinea corporis (ringworm) can present in a circular pattern and should be treated appropriately.
4. Irritation or Contact Dermatitis: Reactions to products you use on your skin or irritation from clothing could also cause these symptoms.

Next Steps

1. Monitor the Area: Take note of any changes in size, color, or sensation. Note if it’s itchy or painful and identify if you’ve used any new products or changed anything in your routine recently.

2. Keep the Area Moisturized: Use a gentle, fragrance-free moisturizer on the affected area to help improve skin hydration. Avoid irritating soaps or products.

3. Avoid Scratching: To prevent further irritation or potential infection, try not to scratch the area.

4. Consider Over-the-Counter Treatments: If it appears to be eczema or a fungal infection, an over-the-counter hydrocortisone cream or antifungal cream may help, respectively.

5. Document Changes: Keep track of any changes over the next couple of weeks, including whether it improves or worsens.

If the spot does not improve after a couple of weeks or if you notice increasing discomfort or spreading, consider seeking advice from a healthcare professional for an accurate diagnosis and appropriate treatment. It's always better to have peace of mind when it comes to changes in your health.