Pseudo Acanthosis Nigricans (PAN) is a skin condition characterized by the darkening and thickening of the skin, often with a velvety texture. Unlike Acanthosis Nigricans, which is typically linked to insulin resistance or metabolic disorders, Pseudo Acanthosis Nigricans is generally caused by external factors, such as friction, irritation, or certain medications. PAN usually appears in body folds such as the neck, armpits, groin, and under the breasts, but it can also affect the face or other areas of the body.
While PAN is not a serious medical condition and doesn’t usually lead to other health complications, it can be cosmetically distressing and may cause discomfort due to the thickened skin.
Dark, thickened, and velvety skin: Typically appears in skin folds and may range in color from light brown to black.
Skin with a smooth or velvety texture: The affected areas may feel softer or thicker than normal skin.
Common locations: PAN commonly affects areas such as the neck, armpits, groin, and under the breasts, but can also occur on other parts of the body.
Occasional itching or irritation: The thickened skin may sometimes be itchy or cause discomfort.
Pseudo Acanthosis Nigricans is typically caused by external factors, rather than internal metabolic disorders. Some common causes include:
Friction and Irritation:
Repeated friction or irritation from tight clothing, jewelry, or poor hygiene can cause skin thickening and darkening in areas that are frequently rubbed. This is one of the most common causes of PAN.
Medications:
Certain medications, such as oral contraceptives, corticosteroids, or hormone treatments, can trigger the development of PAN as a side effect.
Obesity:
Excess weight, especially in areas where skin folds, can create persistent friction and contribute to the development of PAN.
Skin Disorders:
Some skin conditions, such as eczema, can cause irritation and thickening in certain areas, leading to PAN.
Hormonal Imbalances:
Hormonal changes, particularly those associated with pregnancy or certain medical conditions, may contribute to the development of PAN.
Diabetes or Insulin Resistance:
While PAN is different from Acanthosis Nigricans, it is sometimes seen in people with insulin resistance, though this is less common.
At Skinfine Clinic, we specialize in diagnosing and treating a wide range of skin conditions, including Pseudo Acanthosis Nigricans. Our experienced dermatologists will conduct a thorough examination to identify the underlying cause of your condition and recommend an effective treatment plan. We offer both medical and cosmetic treatments to reduce skin thickening and pigmentation, helping you restore a smoother, more even skin tone.
Topical Treatments:
Retinoids: Topical retinoids, such as tretinoin, can help reduce the thickening of the skin and promote skin turnover. These treatments may take time but can help improve the texture and appearance of the affected areas.
Alpha-Hydroxy Acids (AHAs): Creams or lotions containing AHAs, such as glycolic acid, can help exfoliate the skin, reduce pigmentation, and improve skin texture.
Topical Steroids: In some cases, low-strength topical steroids may be prescribed to reduce inflammation and skin thickening, though prolonged use should be avoided due to potential side effects.
Chemical Peels:
Chemical peels that use ingredients like glycolic acid or salicylic acid can help exfoliate the skin, improve the appearance of darkened skin, and reduce the thickness in affected areas. These treatments should be done under professional supervision to avoid irritation or damage to the skin.
Laser Treatment:
Fractional CO2 Laser: This laser therapy targets the skin’s deeper layers to break down the excess pigmentation and promote skin regeneration, helping to reduce the appearance of thickened skin.
Pulsed Dye Laser (PDL): PDL can help target the underlying blood vessels contributing to the dark pigmentation and improve the skin’s appearance by breaking up excess pigmentation.
Hydration and Moisturizing:
Regular moisturizing with emollient creams can help improve the texture of the skin and prevent further irritation. Hydrated skin tends to be more resilient and can heal faster.
Lifestyle Changes:
Weight Management: Reducing excess weight can help alleviate friction in skin folds, which may help prevent the development or worsening of PAN.
Proper Hygiene: Keeping the affected areas clean and dry can prevent additional irritation and friction that might worsen the condition.
Clothing Adjustments: Wearing loose-fitting clothing that reduces friction against the skin can help minimize the risk of PAN formation.
Avoiding Known Triggers:
If the condition is caused by certain medications, changes in medication (under the supervision of a doctor) may be necessary to stop PAN from progressing.
Avoiding friction-causing activities or irritation from accessories (like tight jewelry or belts) can prevent the worsening of PAN.
Avoid Excessive Friction: Wear loose-fitting clothes, especially around areas prone to friction, such as the neck, armpits, and groin.
Maintain a Healthy Weight: If obesity is a contributing factor, weight management may reduce skin folds and the risk of PAN development.
Gentle Skin Care: Avoid harsh scrubbing or chemicals that may irritate the skin. Use mild soaps and moisturizing lotions to protect the skin.
Sun Protection: Use sunscreen to protect the skin from sun damage, as hyperpigmentation can worsen with UV exposure.
If you are struggling with Pseudo Acanthosis Nigricans, Skinfine Clinic offers expert care to help you reduce the appearance of dark, thickened skin. Our dermatologists will develop a personalized treatment plan based on the underlying cause of your condition and the severity of the symptoms. With advanced treatments and professional care, we aim to restore your skin’s smooth, even tone and improve your overall skin health.
Book a consultation today to learn more about your options for managing Pseudo Acanthosis Nigricans and achieve healthier, more confident skin.
Automated page speed optimizations for fast site performance