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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Do I Have Pimples On My Chest And Back With Dark Skin In My Cleavage?

I have a really dark area between my breasts. Usually, after I sweat, it smells quite bad. I also have painfuls pimples all over my chest, in the cleavage and on my back. But the worst part is that my cleavage's skin is very dark and somewhat wrinkled. I have tried using face washes but it doesn't help. Please suggest a better idea.

I am a 16 year old female, 5'2" 86 kg
Mon, 27 Jan 2014
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Dermatologist,  's  Response
Hi. Thanks for posting your concern at HCM.

I would keep a possibility of Acanthosis Nigricans which is dark velvety skin in the folds like neck folds and cleavage area.

I would like to get a blood sugar test and fasting serum insulin levels in you. It is more prone to develop in obese individuals with insulin resistance.

I normally ask my patients to apply a topical 0.025% tretinoin cream once daily in the night on the patches.

For acne you need to be put on either oral Doxycycline or Azithromycin for 4-12 weeks depending on the severity

Topical Benzoyl peroxide 2.5% gel twice daily can used over the chest and trunk areas affected with acne.

take care
regards
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Why Do I Have Pimples On My Chest And Back With Dark Skin In My Cleavage?

Hi. Thanks for posting your concern at HCM. I would keep a possibility of Acanthosis Nigricans which is dark velvety skin in the folds like neck folds and cleavage area. I would like to get a blood sugar test and fasting serum insulin levels in you. It is more prone to develop in obese individuals with insulin resistance. I normally ask my patients to apply a topical 0.025% tretinoin cream once daily in the night on the patches. For acne you need to be put on either oral Doxycycline or Azithromycin for 4-12 weeks depending on the severity Topical Benzoyl peroxide 2.5% gel twice daily can used over the chest and trunk areas affected with acne. take care regards