Why Is My Face Extremely Dark?

Having a particularly dark face can be due to physiological reasons, diseases, vitamin deficiency, genetic factors, and physical and chemical factors. Regular exposure to ultraviolet radiation and being outdoors often in windy and sunny environments can also lead to dark skin. Some disease-related factors include inflammation, such as skin diseases like neurodermatitis.

1. Genetic factors, including freckles, racial melanosis, and pigmented xeroderma.

2. Endocrine factors, including pregnancy, chloasma, hyperthyroidism, and acromegaly.

3. Physical, mechanical, and chemical irritants, such as sunburn, warmth, mechanically induced pigmentation, and tar melanosis.

4. Pigmentation caused by inflammation, such as lichen planus, chronic eczema, neurodermatitis, fixed drug eruption, and lupus erythematosus.

5. Systemic diseases, including chronic infections like kala-azar and tuberculosis.

6. Malignancies like malignant lymphoma, cachexia, and melanoma.

7. Diseases of the nervous system, as well as connective tissue diseases like systemic scleroderma and dermatomyositis.

8. Chronic liver and kidney diseases, as well as anemia.

9. Deficiency of certain vitamins, such as vitamin A, vitamin B12, folate, and vitamin C, can also lead to facial pigmentation.