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What causes black patches under the eyes?

Prof (Dr) DM Thappa
Associate Professor and Head,
Dermatology and STD Department, JIPMER,
Pondicherry

Q: I have a black patch just under both eyes since 2001. Now it is spreading day by day. I request you to suggest a cure.

A:It is difficult to diagnose your condition with such a description. It is better to consult a dermatologist. Possibilities are melasma, acanthosis nigricans, post inflammatory hyperpigmentation, ageing skin change, etc.