dirt buildup on ankles

We are currently offering virtual consultations. We want to make your next ride, your best ride. A dermatologist will often ask questions about a persons medical history and personal hygiene routines. Edema also can be a side effect of some medicines. When to See a Doctor Ichthyosis vulgaris may be present at birth or appear in the first few years of a childs life. All rights reserved. Aloe gel consists of 150 nutritional components including minerals, lignins, salicylic acids, and enzymes. DO NOT wash your elbows/knees for up to 3 hours after applying the lemon juice. You can learn more about how we ensure our content is accurate and current by reading our. Google "ashy skin" does the stuff that comes up look like what you've got? Scientists also believe genes are involved, because many women with the condition have family members with the condition. No need to worry. Its also known as fish scale disease because the dead skin accumulates in a similar pattern to a fishs scales. Find loofa sponges and pumice stones online. Au, is when any of these symptoms seem to get worse rather than better. On a thicker part of your flesh it would be a callus, on thin skin it's just some dead flesh. Sitting or standing without moving could cause fluid to build up in your tissues. Itching, also known as "pruritus" can be uncomfortable. dirt buildup on ankles 3- Classes pack for $45 dirt buildup on ankles for new clients only. Edema can affect any part of the body. Dermatitis neglecta is rarer than other skin conditions that produce similar symptoms, so it is often mistaken for these disorders. It can result from, How can you treat dry skin from the comfort of your home? These symptoms should be reported to a doctor or dermatologist for further treatment. Theres currently no cure for ichthyosis vulgaris. Edema can affect anyone, but the condition most often affects people who are pregnant and adults who are 65 years or older. The cause is unknown, but research suggests that it is a reaction to the misuse, A malar rash is also known as a butterfly rash and appears on the face. Grade 3: Rebound greater than 15 seconds but less than 60 seconds with 5 to 6 mm pit. So if you dont wash your skin and gently exfoliate twice a week, dead skin flakes will build up. As a result, blood can back up in the legs, ankles and feet, causing edema. Dr. There are some things you can do at home to relieve dry skin on the legs. The patches of dry skin typically appear on the elbows and lower legs. Using products with urea, lactic, or salicylic acid can also help your skin shed dead cells. This is mainly composed of white blood cells . One of the kinds of infections caused by staph bacteria is cellulitis, which is marked by redness, swelling, sores, or areas that ooze a dischargetypically confined to the feet and lower legs. Follow the method regularly to get rid of dark, thick and dry skin on the ankle. This may put the unreachable areas at risk for dermatitis neglecta. Treatment involves lifestyle changes, including diet and exercise. Making lifestyle changes to reduce the amount of salt in your diet could improve your edema diagnosis. Topical application of potato juice will also help to get rid of dark ankles. So dont scrub your skin with harsh chemicals as this will just cause dryness and irritation. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Oral or topical antibiotics can clear them up. Extract fresh aloe gel from your garden or borrow from a neighbor. Korean spas are great at this btw, its kind of a horrifying experience. Unlike obesity, ittargets legs, thighs and sometimes arms. If you have edema, take steps to reduce swelling by: It is important to protect any swollen areas of your body from additional pressure, injury and extreme temperatures. They will look for swelling, especially on parts of your body where your skin has a shiny or stretched appearance. But when that color persists or spreads significantly, it may have become infected. The use of stretch bandages or custom-fitted panty hose, panties, or spandex shorts to increase tissue pressure in the swollen legs and lessen the odds of fluid building up again. Shop for lotions containing urea on Amazon. 21st ed. If your tap water is contaminated with harsh chemicals, you dont want to open up your pores. Edema is common because there are many causes associated with the condition. How to Get Rid of Built Up Dirt on Your Skin : Skin Care Secrets ehowbeauty 668K subscribers Subscribe 1K 158K views 10 years ago Subscribe Now: http://www.youtube.com/subscription_c. Fortunately, there are many home remedies to get rid of dark ankles. Just give one of our Gearheads a call at 1-888-676-8853 and they can help you find the best Knee and Ankles for you. Last medically reviewed on March 30, 2018. Vagina Quiz: What Do You Know About Down Below? Depending on the circumstance that caused your scrape, such as falling on gritty pavement, its possible that small particles could have gotten lodged in the affected area. Press the lemon against the knee or elbow with dark spots. These include: fragrances in soaps, lotions, or detergents I get this stuff too (my sons also got this on their necks when they were very young). Although it begins as a cosmetic concern, it can eventually cause pain and other problems. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); This site uses Akismet to reduce spam. The following increases the risk of edema: Mayo Clinic does not endorse companies or products. It's very important to see your healthcare provider if you experience edema or swelling in your body. Accessed Nov. 29, 2023. Baking soda is one of the extensively used ingredients. Age and age-related conditions can also influence symptoms. WebMD does not provide medical advice, diagnosis or treatment. It started in my late 40s. This content does not have an English version. You can blend glycerin with rosewater. Soak in the tub or a hot foot bath for at least 30 minutes, then scrub scrub scrub! Tight-fitting shoes can cause heel bursitis. Click here for an email preview. Regular washing over a few weeks or months will treat many cases of dermatitis neglecta. Pat dry. If are not pregnant and you notice that you have unexpected swelling in a part of your body, contact your healthcare provider for an exam. Bacterial foot infections include erythrasma, abscesses, and cellulitis. Our website services, content, and products are for informational purposes only. Painful patches of skin that crack, bleed, or ooze may be a sign of an additional infection. You can use it on the face regularly to obtain radiant skin. Au says that what youre seeing, in that case, is actually something called granulation tissue, which is a part of the healing process and shouldnt be confused with pus. You can always add . If you continue to use this site we will assume that you are happy with it. This will dry out your skin and make your complexion dull. Heel bursitis can also affect those who have other disorders, including: Haglund's deformity. The code is used by all healthcare providers in the U.S. Edema is common and ranges in severity for each person diagnosed with the condition based on the cause. If edema occurs with chronic heart failure, your provider will recommend lifestyle changes to treat your diagnosis by monitoring your weight, fluid intake and. The reason for this is. MNT is the registered trade mark of Healthline Media. You could also try Amlactin which works great when my eczema is scaly. The skin over the swollen area looks stretched and shiny. A caregiver may also be helpful for older or disabled people who have trouble washing sufficiently. It has many beauty benefits in it. Ask MetaFilter is where thousands of life's little questions are answered. Scrub it over you lips, and you can even ingest it if you wish. When a disease causes edema, the disease needs treatment, as well. Sitting or staying in one position for too long. Ive stopped getting it for several years now and the only difference I can think of is that I switched to a moisturizing body wash which I use with a pouf (Olay ultra moisturizing body wash.) So I recommend moisturizing the area daily after exfoliating it off thoroughly once. https://www.cancer.gov/about-cancer/treatment/side-effects/edema. Begin typing to search, when autocomplete results are available use up and down arrows to review and enter to select. Thorough skin and nail care. Secondary infections and other skin conditions can arise if patches are left untreated. Ichthyosis vulgaris is an inherited or acquired skin condition that occurs when the skin doesn't shed its dead skin cells. Bleaching ability residing in this citrus fruit is prominent. Au explains. https://www.uptodate.com/contents/search. She said it was a form of eczema and the best way to "treat" it is to leave it alone. Swelling of the foot, ankle and leg can be bad enough to leave a dimple, also known as a pit, in the skin after pressing on the area. Taking a bath or shower every day helps prevent the buildup of dirt, sebum, and bacteria on the skin. Read below on swollen ankles or swelling of one ankle causes and treatment. Rinse it off with lukewarm water after few hours. (Also of course it is always good to make sure you are eating well, and getting the normal vitamins in your diet.). ), I get it too, same color as you and Secretariat. Renowned for its hydrating and healing properties, glycerin can help to soften the thick skin on ankles. You must consult a physician to confirm the ailment behind dark ankles. When you are sitting or lying down, put a pillow under your legs to keep them elevated above the level of your heart. Sometimes, you cant prevent what caused edema if it is the result of an underlying health condition like heart failure, liver or kidney disease, but you can work with your healthcare provider to manage symptoms. People who fall into the following categories may be more likely to experience dermatitis neglecta than others. Dermatitis neglecta is a skin disorder caused by not cleaning the skin sufficiently. Use a gentle cleanser like Cetaphil to clean the area, Dr. 4 is Best), How to Use Argan Oil for Skin Lightening 5 DIY Methods Included. Pigmentation on the skin is common when triggered by environmental factors. Learn how we can help. Mix equal quantities of sandalwood powder and rosewater. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Sterns RH. A rash may appear on the skin alongside the typical scales, and the area may become very sensitive. Congestive heart failure or the vein not working well, also known as venous insufficiency, is often the cause. Eczema is characterized by flares of itchy, dry, rough, flaky, inflamed, and irritated skin. Cleveland Clinic is a non-profit academic medical center. Itching. Symptoms of swelling include: An area of your body is larger than it was a day ago. If you're in the mood, you're in for a treat. include protected health information. Au says its time to reach out to your doctor about a possible infection. Edema is the medical term for swelling caused by fluid trapped in your bodys tissues. If they get irritated when washing these sensitive areas, they may skip them, which makes dermatitis neglecta more likely. You can find a selection of humidifiers here. I suggest you make sure to use a gentle soap or body wash regularly, and to moisturize the area regularly with something unscented - do it after you shower, and then again prior to bed. These, When my normal scrubbing bath doohickeys are inadequate I use one of the plastic mesh bags that various vegetables, like onions, come in, wrapped around a bar of soap or tied into a useful scrubbing shape. Mix 3 tbsp of milk with 1 tbsp of rice flour. Slowly lower the toes down towards the ground for 5 seconds, and then lift the toes back up towards the shins for a count of 2 seconds. Prez-Rodrguez, I. M., Muoz-Garza, F. Z., & Ocampo-Candiani, J. It has many beauty benefits in it. While everyone is different if you feel bad after a lingering wound, head to a doctor for an assessment of your skin and symptoms. Almost. privacy practices. Theyre usually not problematic; its when the bacteria invade your body that a staph infection can turn deadly by creating toxicity in your bloodstream. Mix 2 tablespoons of baking soda with 1 tablespoons of water. Advertising on our site helps support our mission. https://www.uptodate.com/contents/search. A form of massage that uses gentle, rhythmic pumping movements to stimulate the flow of lymph around blocked areas to healthy vessels, where it can drain into the venous system. Edema grading is a scale used to identify the severity of your edema diagnosis and estimate how much fluid built up in your tissues. After your healthcare provider makes an edema diagnosis, their next step is to identify what caused fluid to build up in your tissues. Nutrients in this home available ingredient can protect your skin from UV rays and reduce the appearance of the dark complexion. The typical symptoms are a large lower half and column-like legs, which are often tender and bruise easily. How to Use Sandalwood for Skin Whitening 7 DIY Recipes (No. Lipedema can be mistaken for regular obesity or lymphedema.. Venous stasis, sprains, and bruises can cause dark ankles. Be sure to see your doctor if you have any of these symptoms or suspect your infection has taken a turn for the worse. Can poor sleep impact your weight loss goals? Urbanek T, et al. To prevent infections, treat foot injuries immediately. Possibly a relevant detail- I have a white skin tone, and my crud is gray or gray-brown. Over time, fat cells block the vessels of your lymphatic system, which normally helps balance body fluid levels and protect against infection. Exfoliating your skin with a loofa or a pumice stone after you bathe can help remove the excess skin. Increase in the size of the stomach area. Swelling occurs when a part of your body gets bigger because there is a buildup of fluid in your tissues. Bleaching ability of this innate ingredient cant be ignored. Take a bucket of hot water (not too hot that'll burn your feet) and add 2-3 spoons of baking soda. We avoid using tertiary references. Let the forefoot dangle off the edge. Edema will cause parts of your body to increase in size (swell), which might prevent you from completing your daily tasks. Do I need to reduce the amount of salt in my diet? Its just one of the common health products that can be dangerous for you and your family. In: Harrison's Principles of Internal Medicine. Get rid of built up dirt on your skin with help from a nationally recognized Board Certified dermatologist in this free video clip.Expert: Dr. Tanya Kormeili, MD, FAAD, DermatologistContact: www.drkormeilidermatology.comBio: Dr. Tanya Kormeili is a nationally-recognized, Board Certified dermatologist.Filmmaker: Colleen YorkeSeries Description: You're never too young (or old) to start taking an active interest in making sure that your skin is as healthy as it can be. Pain or discolored skin in a swollen area. Symptoms may be indirectly influenced by a recent trauma or surgery. Symptoms. The scale includes: Treatment for edema varies based on the cause, especially if the cause relates to an underlying health condition. If not treated, lymphedemacan lead to problems such as infections, delayed wound healing, development of scar-like tissue called fibrosis, and hardened skin in the legs. We use cookies to ensure that we give you the best experience on our website. It typically disappears during early childhood. Normally, edema will go away on its own if you have a mild case, and medication and treatment are available if you have a more severe case. Depending on the cause of your diagnosis, edema could be temporary or permanent. 2005 - 2023 WebMD LLC. Other symptoms include: Dry, flaky skin. ", Genetic and Rare Diseases Information Center: "Lipedema. Apply the mixed solution on dark ankles and leave it to dry. There are several possible causes for an edema diagnosis including: Your healthcare provider will give a physical examination to diagnose edema, followed by diagnostic tests to find the cause. Scaling skin, or scaly skin, occurs when the outer layer of your skin peels away in large pieces that resemble fish scales. Then in the locker room I can scrub with a gentle pad, and the grey stuff sloughs away. Anecdotal reports claim that topical application of cocoa butter can lighten the appearance of scars and improve skin complexion. General principles of the treatment of edema in adults. This results in pooling red blood cells and turning the skin color of ankles to dark. Mayo Clinic Staff. Please consult your health care practitioner before undertaking any health changes. Especially if the pain and swelling is on one side, these can be symptoms of a blood clot deep in the vein, also known as deep vein thrombosis, or DVT. For example, the top half of your body may be a size 8, but the bottom half may be a size 16. A problem of dead skin cell buildup can be easily diagnosed with a physical examination and noting the characteristics of the scales. According to the American Academy of Dermatology, petroleum jelly prevents the wound from drying out and forming a scab; wounds with scabs take longer to heal. However, following these tips can speed up healing to get rid of that scab. Before jumping to recipes, the mere cause of this discoloration must be known, as it can be associated with the medical condition. Cold showers are another extreme without providing any skin protection. Apply natural moisturizer like almond oil for cell regeneration. Having a long-lasting illness, such as congestive heart failure or liver or kidney disease. Although it seems like signs of a skin infection would be confined to your skin, thats not always the case. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Smoking Pot Every Day Linked to Heart Risks, Artificial Sweetener Linked to Heart Risks, FDA Authorizes First At-Home Test for COVID and Flu, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox. If edema is a side effect of a medication you are taking, your provider might stop or lower the dosage of your medication to resolve the swelling. There are instructions on the internet for growing your own loofahs. Difficulty walking if your legs, ankles or feet swell. Staph infections are one example. The dead skin cells are easily removed from the body by exfoliation and basic hygiene, such as washing with soap and water. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. It most often affects the shins in thick, dark segments. Swelling occurs when a part of your body gets bigger because there is a buildup of fluid in your tissues. Depending on the severity of the case, it may take a few weeks or a few months to resolve. information and will only use or disclose that information as set forth in our notice of How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, http://www.ijdvl.com/article.asp?issn=0378-6323;year=2011;volume=77;issue=1;spage=62;epage=63;aulast=Choudhary, https://www.karger.com/Article/FullText/366515, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4372914/, http://www.idoj.in/article.asp?issn=2229-5178;year=2015;volume=6;issue=2;spage=138;epage=139;aulast=Saritha. You may opt-out of email communications at any time by clicking on However, some cases are severe and cover large areas of the body, including the abdomen, back, arms, and legs. All Rights Reserved. To provide you with the most relevant and helpful information, and understand which There are a few different risk factors for dermatitis neglecta, as well as some simple treatment and prevention options. A persons skin is constantly being renewed as dead skin cells are shed from the body and new ones form. ", "Was so impressed by her staffs knowledge of the procedures and Dr. Kormeili is an incredible listener and gave me EXACTLY what I wanted. Wearing compression socks, sleeves or stockings. This content does not have an Arabic version. Injury to the skin over swollen areas takes longer to heal and is more likely to become infected. The edema grading scale measures how quickly the dimple goes back to normal (rebound) after a pitting test. This causes flu. Wash your dark ankles to remove impurities. Treatment for dermatitis neglecta may vary, but it is usually simple and straightforward. Preventing dermatitis neglecta is often as simple as regularly cleaning the skin. It could just save your life someday. You can also look into letting that contain a low percentage of urea. As with many other skin conditions, genetics play a role in the transmission of ichthyosis vulgaris. If you notice youve been sitting for a long period of time and youre able to, get up or move your body around; it will reduce the likelihood of swelling. This friction is not good for your skin. Nonsteroidal anti-inflammatory medicines. If you buy through links on this page, we may earn a small commission Heres our process. Rice flour removes excess sebum piled on your skin. An unusually severe case of dermatosis neglecta: A diagnostic challenge. information is beneficial, we may combine your email and website usage information with The information on this website is not substitute for medical advice and is for educational purposes only. A doctor might refer a person to a dermatologist who specializes in skin conditions to get a diagnosis. Of course, the way everyone reacts to various cleansers differs from one person to the next, but why take the chance when tending to your cut or scrape? When it comes to making dark ankles brighter, glycerin and rose water can go hand in hand. If you are a Mayo Clinic patient, this could other information we have about you. I get this sometimes too, and you are describing it perfectly! Make an appointment to see a health care provider for swelling, stretched or shiny skin, or skin that holds a dimple after being pressed. This swelling, called edema, is the result of too much fluid in the tissues. Edema could be a sign of an underlying health condition and early diagnosis and treatment could lead to the best prognosis. We do not endorse non-Cleveland Clinic products or services. This is a process that repeats itself about once a month. Following treatment from your healthcare provider reduces the amount of swelling you might experience. Dark thick skin on ankles is due to numerous things including serious medical condition. Apply lotion to them every night before bed (something with AHA or urea like GoldBond Rough & Bumpy Skin works best) and rescrub every month. It is important to wear proper footwear, especially when practicing a sport or exercising. Your doctor may also perform other tests, such as a blood test or skin biopsy. Congestive heart failure causes one or both of the heart's lower chambers stop pumping blood well. The condition usually causes a persons skin to become dry, red, and swollen. We include products we think are useful for our readers. Two things to look out for if you develop pus after getting a cut or scrape: color and odor. Illnesses that can cause edema include: Congestive heart failure. Do you routinely wear something that would bind or rub against the affected area? Saha, A., Seth, J., Sharma, A., & Biswas, D. (2015, MarchApril). However, she adds, if you find that you have to dig at your skin to get rid of anything thats stuck, see a doctor instead. Dont assume that scrubbing away at your skin is helpful or that dirt will work its way outand definitely dont make these other dangerous first aid mistakes. Symptoms of ichthyosis vulgaris are typically worse in winter, when the air is colder and drier. Fungal foot infections include athlete's food and onychomycosis (toenail fungus). Simple lifestyle changes like elevating the swollen part of your body or moving around if you were sitting or standing for a long period of time can reduce swelling and help you feel better. We recommend our users to update the browser. Dermatitis neglecta may show up after surgery if someones self-care is difficult. Avoid irritants that can make dry skin worse. Your email address will not be published. It can occur, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Join 8,027 readers in helping fund MetaFilter. Ichthyosis vulgaris is an inherited or acquired skin condition that occurs when the skin doesnt shed its dead skin cells. Unlike lymphedema, lipedema doesn't start in the lower legs (feet and ankles) but the upper legs, and it isn't related to prior surgery. Mayo Clinic Staff. Also read: How to use coconut oil to whiten skin? That's because the condition affects mostly women, and it often begins or worsens at puberty, during pregnancy, following gynecologic surgery, and around the time of menopause. It can be life-threatening and needs quick treatment. Yes you read that right. But for others, it can return during adulthood. Those Korean mitts are a godsend. Fragrance-free, hypoallergenic soaps can help people with sensitive skin prevent symptoms of dermatitis neglecta. Dermatitis is a term that describes skin inflammation. Edema (swelling) and cancer treatment. See your doctor ASAPand make sure you're not picking or rubbing at your . The lipedemic fat can later collect in the arms.. 2811 Wilshire Blvd, Suite 640, Santa Monica, CA 90403, Copyright 2023 Dr. Tanya Kormeili Dermatology, Sometimes our skin can look dirty after showering. apartments for rent in west allis, wi under $600 dirt buildup on ankles Swelling can happen anywhere on your body but most often affects your feet, ankles and legs. But, if the pigmented skin is changing gradually, then you must see a physician. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. It can be confused with allergic reactions and other skin conditions, but it responds much better to basic hygiene than other skin problems do. I am also going to disagree with all the advice to scrub and exfoliate, which would just irritate my skin more if I had this problem (and I deal with skin issues regularly). Hand swelling during exercise: A concern? Compression therapy for leg oedema in patients with heart failure. Grade 4: Rebound between 2 to 3 minutes with an 8 mm pit. If you need some assistance, we can help. ", Lymphology Association of North America: "What is Lipedema? If the cause of edema is too much salt intake, adjusting your diet to reduce the amount of salt in the foods you eat will prevent edema. Soak the skin, then try a loofah to remove he ugly stuff. The skin over the swollen area looks stretched and shiny. There is no online registration for the intro class Terms of usage & Conditions We look at the symptoms and treatment. Our Dirt Bike Knee and Ankles ship for free with orders over $79. Ankle swelling: The most common reasong for both ankles to swell in adults is the lower leg veins are not getting blood back to the heart very well. 8 Giugno 2022 - Posted by: . This swelling, called edema, is the result of too much fluid in the tissues. Edema is swelling caused by too much fluid trapped in the body's tissues. Foot swelling during air travel: A concern? Rheumatoid arthritis. Sandalwood powder is housed with anti-tanning and skin whitening properties. posted by mostlymartha at 8:48 PM on May 18, 2019 [ 13 favorites] Long-lasting disabilities and some mental health conditions may increase the risk of dermatitis neglecta symptoms, regardless of someones age. Natural Homemade Hair Removal wax to Remove Unwanted Hair at Home, 10 Celebrities Reveal Their Surprising Secrets to Looking Younger, How to Get Rid of Pimples and Acne Overnight Using These 25 Quick Remedies, 7 Tulsi Face Pack Recipes to Treat Acne, Eczema and Psoriasis, 15 Best Collagen Building Foods for Your Skin, How to Use Fenugreek for Face, Acne & Skin Whitening Face Mask Recipes, You Cant Believe Benefits of Spinach for Skin. Do not sit or stand for long periods without moving or go on short walks. Squeeze a bit of juice from the lemon to form a "depression" in the half. But if your pain lingers to a point that seems abnormal or intensifies instead of gradually improving, then Dr. Your doctor might want you to take a diuretic (commonly called a "water pill"), which helps your body get rid of excess fluid. A symptom of edema is swelling in your body. Seconding zengargoyle that it may be caused by a position youre frequently in. This will rule out other skin conditions, such as psoriasis, that cause similar symptoms. This is usually a sign that youre not washing off all the shampoo or body wash off your skin. Studies conclude that topical application of coconut oil is effective for hydrating your skin. Edema shoes are available for people who experience chronic edema and need adjustable footwear for swelling. Hold the oil by wearing socks and remove them in the morning. Swelling or puffiness of the tissue right under the skin, especially in legs or arms. Exfoliating is important to remove accumulated dead skin cells. Dead skin cells make up the first 18 to 23 layers of your skin. Suggestions above for using a lotion like Amlactin or Gold Bonds cream for rough and bumpy skin are options. The heat from hot water can dry out your skin and open up your pores. Exfoliating healthy skin with a dry brush or loofah may also help remove dead skin cells and leave the surface feeling rejuvenated.

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dirt buildup on ankles