Post inflammatory hypopigmentation commonly seen with superficial dermatitis such as seborrheic dermatitis, diaper dermatitis, pityriasis alba on face in children. Resolves over time with sun light exposure and 1% hydrocortisone.
Topical ointments like TriLuma and Hydroquinone are very effective against hypopigmentation. They help to even out the skin tone by bleaching the entire skin surface. Ginger is known to have excellent effects against hypopigmentation.
By reducing the production of melanin, hydrocortisone can help to lighten the dark patches and improve the appearance of the skin. However, hydrocortisone for melasma treatment is not the first-line treatment.
Phototherapy is effective if you have hypopigmentation from laser treatments (laser-induced hypopigmentation). These treatments include laser hair removal, laser tattoo removal or laser skin resurfacing. It uses ultraviolet (UV) light from special lamps.
Pityriasis alba
Treatment options for PA include: regular use of moisturizers. low-dose topical corticosteroid creams, often starting with 1-percent hydrocortisone cream.
Post inflammatory hypopigmentation commonly seen with superficial dermatitis such as seborrheic dermatitis, diaper dermatitis, pityriasis alba on face in children. Resolves over time with sun light exposure and 1% hydrocortisone.
Topical pimecrolimus or tacrolimus
Pimecrolimus and tacrolimus are a type of medicine called calcineurin inhibitors, which are usually used to treat eczema. Pimecrolimus and tacrolimus are unlicensed for treating vitiligo, but they can be used to help restore skin pigment in adults and children with vitiligo.
Hypopigmentation can result from various causes, including post-inflammatory responses, fungal infections, or genetic conditions like albinism.
Steroid creams can be used in efforts to restore pigment to the affected areas. Phototherapy, or light therapy, may be used to try to help restore color to the skin. Surgery can be used to remove skin with your natural color or skin cells and place them where you need color.
Ruxolitinib (Opzelura): This topical JAK inhibitor is the first FDA-approved treatment for vitiligo. Applied directly to the affected areas, it offers a targeted approach with potentially fewer side effects compared to oral JAK inhibitors.
Hydrocortisone cream works effectively to combat acne when it's combined with other treatments, namely Benzoyl Peroxide. When combined, hydrocortisone works to reduce inflammation and redness by calming the site of the breakout, while the Benzoyl Peroxide works to reduce acne-causing bacteria.
Hydrocortisone skin treatments work on your skin's cells to stop these chemicals being released. This reduces symptoms like swelling, redness and itching. When will my skin get better? Your skin should start to get better after using hydrocortisone for a few days.
A previous study demonstrated that the degree of UVB-induced erythema and hyperpigmentation were reduced in parallel manner by applying topical cortico steroids immediately after UVB irradiation (12).
If irritation, redness, and itching are causing the hypopigmentation, a topical steroid can reduce these symptoms and help you heal. A topical calcineurin inhibitor — such as tacrolimus (Protopic) or pimecrolimus (Elidel) — may also be an option to help decrease inflammation.
Currently, several vitamins and supplements are being investigated for their ability to boost melanin production. However, the best way to support melanin production and good skin health is to eat a healthy diet full of vegetables, fruit, and whole grains.
Repigmentation is achieved by medications, phototherapy, and surgical procedures. Medications - There are topical and systemic medications. Topical corticosteroids - Low dose corticosteroids are used as first-line drugs in many hypopigmented conditions. They are known to accelerate the repigmentation process.
There is currently no specific treatment for skin pigment changes. However, eczema is treatable in people of all skin tones. Hyper- and hypopigmentation usually fade and resolve on their own.
Medications and light-based therapies are available to help restore skin color or even out skin tone, though results vary and are unpredictable. And some treatments have serious side effects.
In this report, tacrolimus 0.1% ointment was used daily throughout the year of microneedling treatments and for an additional four months following the treatment [5]. Topical bimatoprost has been successfully used to treat hypopigmentation caused by vitiligo as well [6].
Retinol & ascorbic acid can help build collagen & reduce unwanted pigmentation. Vitamin E & ferulic acid can act as antioxidants, reducing UV induced collagen loss.
What does post inflammatory hypopigmentation look like? The condition presents as flat, non-scaly and lighter-than-normal areas of skin.
Conclusions. Based on our findings, vitamin D levels were significantly low in patients with vitiligo in comparison with controls; however, we did not observe any significant effect of vitamin D on the occurrence and extension of vitiligo lesions.
Vitiligo is a chronic (long-lasting) autoimmune disorder that causes patches of skin to lose pigment or color. This happens when melanocytes – skin cells that make pigment – are attacked and destroyed, causing the skin to turn a milky-white color.
The main function of corticosteroids is to reduce inflammation and suppress the immune system (NICE, 2022). Some commonly prescribed topical corticosteroids for vitiligo include betamethasone, fluticasone, hydrocortisone and clobetasol (NHS, 2021; Gawkrodger et al., 2008).