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What can often be a sign of underlying skin issues such as eczema or dermatitis?

  1. Fissures

  2. Blackheads

  3. Whiteheads

  4. Pigmentation changes

The correct answer is: Fissures

Fissures are cracks or splits in the skin that can result from conditions like eczema or dermatitis. These skin issues often cause inflammation, leading to dryness and irritation, which can subsequently result in fissures. The appearance of fissures is a direct indicator of the skin's compromised barrier function, which is common in people suffering from these chronic conditions. When the skin's ability to retain moisture is impaired, it can lead to these painful and sometimes deep cracks that signify a more significant underlying problem. Although blackheads, whiteheads, and pigmentation changes can indicate other skin-related concerns, they are not typically associated with the same level of underlying chronic issues as fissures. Blackheads and whiteheads are more related to acne and clogged pores, while pigmentation changes could point towards various factors including sun damage or hormonal changes, but they do not carry the same implication of an inflammatory skin condition as fissures do.