Face Hypopigmentation

Face and Hypopigmentation

 

In children the commonest causes are pityriasis alba, a mild form of atopic eczema.  The skin is never completely white in this condition.  Segmental vitiligo can cause a localised pigment loss that has been present since birth.  Ordinary vitiligo tends to be localised around the eyes and around the mouth. Pityriasis versicolor,a yeast infection, may involve the neck or chin area giving mild pigment loss Loss of pigment can also be due to scarring from liquid nitrogen application with damage to the melanocytes.In tropical countries Tuberculoid Leprosy can present as an area of hypopigmentation with reduced sensation within it

 

Management-  If scaly scrape and send for microscopy and culture for fungus.

 

 

SIGN DIP MEN   Overview of Hypopigmentation

 

S-Squamous    Healing areas of eczema and psoriasis,Pityriasis alba,Pityriasis versicolor,Post discoid lupus erythematosus scarring,Tinea corporis,

 

I-Infective    Pityriasis versicolor,Tuberculoid Leprosy,Pinta,

 

G-Granulomatous   Sarcoidosis,

 

N-Neoplastic    Morpheic Basal cell skin cancer,Epidermodysplasia verruciformis,

 

D-Drugs     Phenols,Hydroquinone

 

I-Immunological    Vitiligo,Halo nevi,Localised Morphea,Lichen sclerosus

 

P-Physical     Following liquid nitrogen,Post traumatic in dark skin,Idiopathic guttate hypomelanosis,Chronic radiodermatitis,

 

M-Metabolic

 

E-Endocrine

 

N-Nutritional

 

Others- Genetic Albinism,Piebaldism,Hermansky Pudlak,Chediak Higashi,Prader Willi,Klein Wardenburg syndrome,Voigt-Koyanagi syndrome,Ashleaf macules of Tuberous sclerosus,Nevus depigmentosus,Nevus anemicus,