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Causes of hyperpigmentation - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Pigmentation Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi doctor.. I am 25 years girl and got massive skin problem.. my body has darkened due to itching.. I was born very fair but now whole body is getting dark day by day. I have taken various treatments but no change. Please help.
Doctor :   Hi
Doctor :   Iam .Dr.XXX
User :   Hi doc
Doctor :   Let me read your post
User :   Sure
Doctor :   Since how long this is there?
User :   around 8 years
Doctor :   Do you suffer from any hormonal disease?
Doctor :   ok
Doctor :   Did you have any history of allergy?
User :   I have noticed dis on my mom's arm 2
Doctor :   Is it located around your arm pit,neck etc
Doctor :   Or is it an generalized one all over your body
User :   True... Upper part of the body.. legs not affected yet
Doctor :   Is your mother Diabetic?
User :   Yes since 5 years and thyroid also
Doctor :   May i know from which country you are?
Doctor :   OK
User :   India.. City XXX
Doctor :   ok
Doctor :   Many forms of hyperpigmentation are caused by an excess production of melanin.
Doctor :   Hyperpigmentation is associated with a number of diseases or conditions, including: User :   ok... so what medication should I take
Doctor :   Addison's disease
Doctor :   Cushing's disease
Doctor :   etc
Doctor :   Hyperpigmentation of intertriginous areas associated with insulin resistance.
User :   ok
Doctor :   Treatment of hyperpigmentation may include hydroquinone, kojic acid, alpha hydroxy acids, azelaic acid, ascorbic acid, tretinoin (Retinol), topical glucocorticoids, and licorice extract
Doctor :   Focal hyperpigmentation is most often postinflammatory in nature, occurring after injury (eg, cuts and burns) or other causes of inflammation (eg, acne, lupus).
Doctor :   Treatment depends on whether the pigmentation is epidermal or dermal
Doctor :   Only epidermal pigmentation responds to treatment.
Doctor :   First-line therapy includes a combination of hydroquinone
Doctor :   and a class V to VII topical corticosteroid
Doctor :   but long courses are usually required;
User :   Doctor is there any surgery to this problem?
Doctor :   Hydroquinone
should be tested behind one ear or on a small patch on the forearm for 1 wk before use on the face because it may cause irritation.
Doctor :   No
Doctor :   Use solar protecting lotions in exposed areas
User :   I have used hydroquinone as a treatment... And what are solar protecting lotions.. name few
Doctor :   But i would advise a detailed hormonal study
Doctor :   Solar protecting lotions are the moisturisers that contain SPF 30 or more
Doctor :   like lakme etc
Doctor :   But do meet an endocrinologist
User :   Ok doctor i do use medicated use sun screen lotion.. Its name is Sun ban
Doctor :   To rule out that you dont have any thyroid or adrenal gland disease
Doctor :   ok Sun Ban is good
Doctor :   Do you have hyper pigmentation on your face?
User :   Ok.. I used to consult dermatologist.. No one guarantees me complete cure
Doctor :   Did you do blood tests?
User :   Its there but very light... my forehead is getting affected
User :   ya i have recently got my blood test done.. have the report too.
Doctor :   So first thing is protection from sun
Doctor :   Is there any hormonal abnormality?
User :   This is not known.. No one told me.
Doctor :   Yes hormonal imbalances cause hyperpigmenatation
Doctor :   like addisons disease
User :   ok.. will chemical peels help?
Doctor :   Laser treatments are available for some
User :   Will laser treatment be beneficial?
Doctor :   yes in some
Doctor :   but the root cause should be treated first
User :   Please tell me what should be my first step?
Doctor :   Then get an hormonal study done
User :   I do use. next?
User :   ok.. then
Doctor :   Then do consult an endocrinologist
User :   Ok doctor. If he says i have some hormonal imbalances then whom to consult?
Doctor :   Endocrinologist
User :   Then i need not to go to Dermatologist after consulting him?
Doctor :   yes
Doctor :   Hydroxy acid peels are commonly used to treat hyperpigmentation or darkening of the skin.
Doctor :   Did you understand what i said?
User :   The chemical peels you are talking off
Doctor :   Is there anything else i can help you with?
Doctor :   Is there anything else i can help you with?
User :   Chemical peels na? From where should i get this done?
User :   Do you any doctor in XXX who can help me
Doctor :   yes wait
User :   time up
User :   thank u
Doctor :   WWW.WWWW.WW
Doctor :   use the link\
Doctor :   Thanks for consulting..Bye for now...
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