A member asked:

My 6 year old has the dark ring all the way around his neck he is over 80 pounds he does go outside and play and run around what could this be?

6 doctors weighed in across 2 answers

Rash: Dark ring may be acanthosis nigricans especially if a person is over weight. Acanthosis nigricans represents risk factor for diabetes. Other causes like dermatitis, hyperpigmentation from sun exposure, fungal infection are a possibility. Need to see child's PCP to determine the exact cause

Answered 4/17/2016

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Dr. Melissa Gowans answered

Specializes in Pediatrics

Acanthosis: Without actually seeing the area my best guess, given the limited information provided is this could be acanthosis nigricans.Acanthosis nigricans is a brown to black, poorly defined, velvety hyperpigmentation of the skin.It is usually found in body folds,]such as the posterior and lateral folds of the neck,the armpits,groin,navel,forehead, and other areas. Follow-up with peds doc for evaluation

Answered 3/30/2015

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