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Urology  (Expert Forum)
 | 
blackish color to perineum and upper thighs
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

blackish color to perineum and upper thighs

by stessa, Dec 01, 2004 12:00AM
I am 51 years old and over weight.  I noticed that my upper inner thighs and perineum area are black.  I am a very clean person and have even tried scrubbing them with cleanser and nothing will talk the black away.  I do exercise and do alot of walking and wear alot of dark colored shorts and pants.  It is not painful, it just looks terrible.  What causes this and how do I get rid of it?

by Kevin Pho, MD, Dec 02, 2004 12:00AM
One serious cause would be Fournier's gangrene, which is a severe infection of the perineum that can cause pain and is acute in onset.  This is quite a serious possibility and why you should have this evaluated by your physician.  If there is concurrent diabetes, there may not be the associated pain.  

If that has been ruled out, a dermatology referral should certainly be considered for further evaluation.  A hematoma (i.e. collection of blood caused by a broken vessel) is another consideration.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
Medical Weblog:
kevinmd_b
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