Brief Answer:
Kindly send pictures of the affected area.

Detailed Answer:
Hello,

Welcome and thanks for posting your query to the forum.

I can understand your concern for the spots on the face of your daughter.

In view to help you best I request you to kindly upload few good resolution pictures of the affected area. For that you have a feature on the right side of the page. or else you can send your pictures on :

YYYY@YYYY

With attention " Dr Sanjay Kanodia "

Also kindly tell me since how long you noticed these spots. Any pain or discomfort or itching in these areas and any treatment taken for the same.

Hope to hear soon from your side.

With regards,

Dr Sanjay Kanodia
MD-DERMATOLOGY

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Brief Answer:
"Post inflammatory hyper-pigmentation" or PIH: nothing to worry.

Detailed Answer:
Hello XXXX,

Welcome again to the forum and thanks for posting the pictures.

After analyzing the complete query along with the pictures I can make out a simple diagnosis of "Post inflammatory hyper-pigmentation" or PIH in the little XXXXXXX

To tell you simply regarding this condition: our skin is a multi-layered structure. It contains specific cells which are known as melanocytes.
These melanocytes are the cells which regularly produces colour/pigment known as melanin in the skin. These are superficially present in the upper skin known as epidermis. This is a tendency in ourselves to get higher or lower activity of these melanocytes at the facial area according external environmental factors and especially to sunlight.

Whenever there is a prolonged exposure to the facial skin occur or due to environmental exposure, the skin initially gets bit red and then darkened very transiently. Later on as this dead skin falls off it is perceived as bit pale or whitish spots which we call as "Post inflammatory hyper-pigmentation" or PIH.

I reassure you fully that it is normal in all the kids and no active intervention is required. I suggest in patients to do plenty of moisturization and protection from direct sunlight to avoid further spreading.

If at all this is not reducing in few weeks despite moisturization then I refer to apply a mild steroid based cream such as Desonide for 7-14 days only.
I additionally suggest the parents to give a nutritional diet with plenty of green vegetables and fruits.

I hope above informations will help and relax you. I will be glad to reply any further queries.

"Wish you happy new year and best health for your family"

With regards,

Dr Sanjay Kumar Kanodia
MD- Dermatology

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