Patient information: age/sex: 56m height: 5'8 (172-173 cm) weight: 67 kg (148 lbs) race: south east asian (indian) location: us + india (was in india when he developed the spots), people from other countries are welcome to provide their opinion as well primary complaint: my dad has some discoloration (white spots) on his leg near his foot (picture: url/a/q5xfvyb) which first presented as a red, rough, itchy patch (kind of like a scrape) about a month ago. He sought treatment from a dermatologist which helped with the itching but hasn't improved the discoloration at all. There were no tests done regarding this issue. Only medicine was prescribed (as stated below). I wanted to know if this condition is related to his diabetes, aging, or a new condition that may not be skin-related, and what doctors/specialists my dad should consult. Additionally, it would be helpful to know what conditions you think he may have/should get tested for. Duration: 1 month existing medical issues: diabetes type ii general depression and anxiety, mood swings, aggressive mood current medications: etavone lotion tacrolimus ointment vitellius lotion note: he quit medication for diabetes a year ago (he's stubborn - I have no excuses for it), also could not confirm dosage previous medication: glucophage gp 1 (1 year ago - last medication he took for diabetes) glycomet sr 500 (3 years ago, first medication for diabetes that did not help much) vitamin b12 and d supplements drink, smoke, and/or recreational drugs use: none (never in his lifetime) other persisting symptoms (before the skin condition) and notes: joint pain lower abdominal pain lower back pain pain near lower right rib ("near liver") on applying pressure numbness/temporary paralysis in arms in the morning (on waking up) which goes away after massaging arm fatigue loss of interest in life, isolation from society, mood swings, aggression. Insomnia (claims he hasn't had a good night's sleep in over 10 years) slightly elevated bilirubin and iron levels (tested: around 5 months ago) puffy eyes (droopy under eyes) weightless: 78 kg (5 years ago) to 67 kg today without change in diet/physical activity/lifestyle. Has complained about swelling behind ears for over 10 years (ct scans/mri around that time did not show anything). Has not been in any forests/bitten by insects/animals/snakes, etc. As far as he remembers. No headaches lifestyle: sedentary - no exercise at all, is retired. Diet: typical north indian diet with chicken, vegetables, eggs, spices, nuts. Consistently avoids sugar/foods with high sugar content. Vitals (self-conducted): temperature: 98 f pulse: 80 blood sugar: fasting: 150 mg/dl (measured a while ago/is a rough estimate) postprandial: 282 mg/dl (measured: feb 13, 2022) please let me know if you have any questions that might be helpful. I asked everything that I could think of and took notes. However, I am not a medical professional/student so keep that in mind when reading this. Thank you for your help.