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Pigmented Skin Health Feed

Pigmentation on my chicks and color of pigmentation mix of black and brown color. Please suggest me best treatment.

Dr. Kinjal Bhayani 92% (626 ratings)
FMC (Fellow in Med.Cosmetology), BHMS, csd
Aesthetic Medicine Specialist, Rajkot
Pigmentation on my chicks and color of pigmentation mix of black and brown color.
Please suggest me best treatment.
Pigmentation dullness darkness mostly because of sun exposure or after pimples Poor nutrition and stress Take rich diet like dates carrot beetroot Banana milk dry fruits Green vegs etc Drink daily 10-15 glasses of water daily Apply sunscreen lotion daily according to your skin type Take proper sleep and time to time food I need to see your pic Can you inbox me? For whitening soap ointment contact.
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I am getting lots of dark circles under eyes due to insufficient sleeping. As well I am suffering from pigmentation marks as well. Earlier I have tried many dermatologist but the results was Un happy. I have spend to much on skin medicine. Please suggest me one cream which will work of dark circle under as well for pigmentation, malasum marks. I have saw an add of botanical skin products on amazon is it really useful?

Dr. Kinjal Bhayani 92% (626 ratings)
FMC (Fellow in Med.Cosmetology), BHMS, csd
Aesthetic Medicine Specialist, Rajkot
I am getting lots of dark circles under eyes due to insufficient sleeping. As well I am suffering from pigmentation m...
Fair eye ointment Pigmentation dullness darkness mostly because of sun exposure or after pimples Poor nutrition and stress Take rich diet like dates carrot beetroot Banana milk dry fruits Green vegs etc Drink daily 10-15 glasses of water daily Apply sunscreen lotion daily according to your skin type Take proper sleep and time to time food I need to see your pic Can you inbox me? For whitening soap ointment contact.
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My friend is suggesting me Brite cream for the pigmentation. Can you help me this cream is good for my face or not actually my face is not looking good due to the pigmentation.

Vaibhav Verma 90% (72 ratings)
General Physician, Chatra
My friend is suggesting me Brite cream for the pigmentation.
Can you help me this cream is good for my face or not ac...
Yess you can try that but only after a prescription from dermatologist I can suggest some other remidies.
1 person found this helpful
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Pigmentation: Tips For Managing It!

Dr. Nandini Teli 87% (15 ratings)
MBBS, MD - Dermatology, Fellowship In Anti Aging & Aesthetic Medicine (Germany)
Dermatologist, Pune
Pigmentation: Tips For Managing It!

There would only be a handful of people who are happy with the way their skin looks. While acne and pimples are the concerns at a younger age, but with age the concerns shift to dark circles and pigmentation. Both light and dark pigments become worrisome, and one continuously looks for ways to manage them.

The skin has a pigment called melanin, which is responsible for the color; more the melanin component, darker the skin complexion. This can either decrease or increase and can affect people of any age or gender. Whether or not you will be a victim of pigmentation depends on genetics, sun exposure, skin care regime, hormonal changes (puberty, pregnancy), stress levels and hormonal changes. While hyperpigmentation is very common with old age, hypopigmentation is not very normal and it is advisable to seek medical attention to rule out more serious underlying diseases. The most common types of hyperpigmentation include:

  1. Melasma: This is caused by hormonal changes, especially during pregnancy.

Preventing hyperpigmentation:

  1. Minimizing sun damage is the first and most important step in reducing onset and severity of pigmentation. Use a sunscreen that at least has an SPF of 15 regularly. It is not just on sunny days that the sun causes damage. If you are heading out (even cloudy days), it means the sun can damage you. Avoid sun exposure as much as possible if you know you are prone to pigmentation.
  2. Regular use of scrubs and exfoliators ensures the buildup of dead cells is removed, which itself leads to hyperpigmentation in many people. For dry or sensitive skin, exfoliate 1 to 2 times a week. For oily skin, exfoliate 2 to 3 times a week. Try to avoid scrubs on acne as the abrasive effect can worsen the condition.

Treatment for Hyperpigmentation-

Pigmentation issues run in the family and if your mother and grandmother had it, it is very likely you are prone for hyperpigmentation too. In these cases, aggressive skin care routine can help improve appearance. Ensure that the skin care products used contain at least an SPF of 15 and other active ingredients like alpha hydroxy acids (AHAs). The glycolic and lactic acids are examples of AHAs, which aid in removing dead cells that form on the skin. This produces a clearer skin with lesser discoloration. Vitamin C and E and kojic acid are also effective for treating hyperpigmentation. Other dermatological treatments-

  1. Chemical Peels: Chemical Peels are a more intensive treatment used in cases of more persistent pigmentation or to hasten the lightening effects of the topical prescription products. Peels work by exfoliating the upper-most layer of your skin and the dark area with it. There are many different types of peels and they are usually solutions that the dermatologist applies to the skin.
  2. Medication: Topical treatments such as hydroquinone, azelaic acid, tretinoin cream, GA, and trichloroacetic acid. Skin whitening products are used for clinical treatment of postinflammatory hyperpigmentation.
  3. Q-Switch Laser Treatment: The Q-switched laser is used to remove unwanted brown spots, sun freckles, or tattoos from your skin. The laser energy pulse, which is in billionths of a second, releases the pigment into the skin so it can be naturally reabsorbed and disposed of by the body.

In addition to these, ensure you eat a healthy diet with loads of fresh fruits and vegetables, stay hydrated, reduce sun exposure, and you surely will have be able to deal with pigmentation.

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I have acne problems and pores left for due to acne what can be done to solve this problem I have oily skin there is also chances of pigmentation I also want to know if there is anything can that can be done for removal of tanning my ages 25 is there any solution for my problem.

Dr. Sathish Erra 89% (14758 ratings)
BHMS, Diploma in Dermatology
Sexologist, Hyderabad
I have acne problems and pores left for due to acne what can be done to solve this problem I have oily skin there is ...
Home remedy for acne Rinse the honey off with warm water; then rinse again with cold water to close the pores. Oily skin is prone to acne, and this home remedy can reduce excess oil and help clear acne. To make the mask, combine 1 teaspoon of brewer's yeast with a little plain yogurt to create a thin mixture. Home remedy for oily face Mix 1 tablespoon of baking soda in 2-3 tablespoons of water to make a fine paste. Apply this paste on your face and wash it off when it dries. Baking soda has anti-inflammatory and antiseptic properties, which helps treat oily skin.
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I have very sensitive skin. Because of this I have pigmentation on my face and sometimes burning sensation on my feet and hand. Some time burning sensation increase into a level that I can't hold object or stand on my feet.

Dr. Sathish Erra 89% (14758 ratings)
BHMS, Diploma in Dermatology
Sexologist, Hyderabad
I have very sensitive skin. Because of this I have pigmentation on my face and sometimes burning sensation on my feet...
The home remedy for pigmentation It also helps in naturally making the skin radiant. Apple Cider Vinegar also contains beta-carotene which is effective in treating the damage caused to the skin. Mix water in apple cider vinegar and dilute it. Leave it for a few minutes and rinse it with lukewarm water.
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Hello Sir, my face and arms skin have pigmentation. I want to overcome that. Is dermadew glow cream helpful? Please suggest me if there are any other treatments.

Dr. Narasimhalu C.R.V.(Professor) 94% (54690 ratings)
MD, MBBS
Dermatologist, Chennai
Hello Sir, my face and arms skin have pigmentation. I want to overcome that. Is dermadew glow cream helpful? Please s...
No. Undergo glutathione therapy. Otherwise, few creams also available. Contact me by direct online consultation for treatment.
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I am having lots of hair fall and even my face is looking dull in spite of washing face. I have dark circles too and there are puffiness too on my eye Now I have pigmentation near my mouth area and some dark spots on my face.

Dr. Sathish Erra 89% (14758 ratings)
BHMS, Diploma in Dermatology
Sexologist, Hyderabad
I am having lots of hair fall and even my face is looking dull in spite of washing face. I have dark circles too and ...
The best home remedy for pigmentation It also helps in naturally making the skin radiant. Apple Cider Vinegar also contains beta-carotene which is effective in treating the damage caused to the skin. Mix water in apple cider vinegar and dilute it. Leave it for a few minutes and rinse it with lukewarm water.
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Vitiligo - Know How To Treat It!

Dr. Swarup Kumar Ghosh 90% (82 ratings)
MD - Bio-Chemistry, MF Homeo (London), DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Kolkata
Vitiligo - Know How To Treat It!

Vitiligo is a long-term skin condition characterized by patches of the skin losing their pigment. The patches of skin affected become white and usually have sharp margins. The hair from the skin may also become white. The inside of the mouth and nose may also be involved. Typically both sides of the body are affected. often the patches begin on areas of skin that are exposed to the sun. It is more noticeable in people with dark skin. Vitiligo may result in psychological stress and those affected may be stigmatized. 
The exact cause of vitiligo is unknown. It is believed to be due to genetic susceptibility that is triggered by an environmental factor such that an autoimmune disease occurs. This results in the destruction of skin pigment cells. Risk factors include a family history of the condition or other autoimmune diseases, such as
Hyperthyroidism, alopecia areata, and pernicious anemia. It is not contagious. Vitiligo is classified into two main types: segmental and non-segmental. Most cases are non-segmental, meaning they affect both sides; and in these cases, the affected area of the skin typically expands with time. About 10% of cases are segmental, meaning they mostly involve one side of the body; and in these cases, the affected area of the skin typically does not expand with time. Diagnosis can be confirmed by tissue biopsy.
There is no known cure for vitiligo. For those with light skin, sunscreen and makeup are all that is typically recommended. Other treatment options may include
Steroid creams or phototherapy to darken the light patches. Alternatively, efforts to lighten the unaffected skin, such as with hydroquinone, may be tried. A number of surgical options are available for those who do not improve with other measures. A combination of treatments generally has better outcomes. Counselling to provide emotional support may be useful.
Globally about 1% of people are affected by vitiligo. Some populations have rates as high as 2–3%. Males and females are equally affected. About half show the disorder before age 20 and most develop it before age 40. Vitiligo has been described since ancient history. 
 

Signs and symptoms-

  • Vitiligo on lighter skin
  • Vitiligo on darker skin
  • The only sign of vitiligo is the presence of pale patchy areas of depigmented skin which tend to occur on the extremities. The patches are initially small, but often grow and change shape. When skin lesions occur, they are most prominent on the face, hands and wrists.
  •  The loss of skin pigmentation is particularly noticeable around body orifices, such as the mouth, eyes, nostrils,
  • Genitalia and umbilicus. Some lesions have increased skin pigment around the edges. Those affected by vitiligo who are stigmatized for their condition may experience depression and similar mood disorders.

Causes-

  • Although multiple hypotheses have been suggested as potential triggers that cause vitiligo, studies strongly imply that changes in the immune system are responsible for the condition. Vitiligo has been proposed to be a multifactorial disease with genetic susceptibility and environmental factors both thought to play a role.
  • The tyr gene encodes the protein tyrosinase, which is not a component of the immune system, but is an enzyme of the melanocyte that catalyzes melanin biosynthesis, and a major autoantigen in generalized vitiligo.  The nih states that sunburns can cause the disease but there is not good evidence to support this. 
  • Preliminary evidence suggests a possible association with eating gluten.

Immune-

  • Variations in genes that are part of the immune system or part of melanocytes have both been associated with vitiligo. It is also thought to be caused by the immune system attacking and destroying the melanocytes of the skin. A genomewide association study found approximately 36 independent susceptibility loci for generalized vitiligo. 
  • Autoimmune associations
  • Vitiligo is sometimes associated with autoimmune and
  • Inflammatory diseases such as hashimoto's thyroiditis,
  • Scleroderma, rheumatoid arthritis, type 1 diabetes mellitus, psoriasis, addison's disease, pernicious anemia,
  • Alopecia areata, systemic lupus erythematosus, and celiac disease.
  • Among the inflammatory products of nalp1 are caspase 1 and caspase 7, which activate the inflammatory cytokine
  • Interleukin-1β. Interleukin-1β and interleukin-18 are expressed at high levels in patients with vitiligo. In one of the mutations, the amino acid leucine in the nalp1 protein was replaced by histidine (leu155->His). The original protein and sequence is highly conserved in evolution, and is found in humans, chimpanzee, rhesus monkey, and the bush baby. Addison's disease (typically an autoimmune destruction of the adrenal glands) may also be seen in individuals with vitiligo. 

Diagnosis-

  • Uv photograph of a hand with vitiligo
  • Uv photograph of a foot with vitiligo
  • An ultraviolet light can be used in the early phase of this disease for identification and to determine the effectiveness of treatment. Skin with vitiligo, when exposed to a blacklight, will glow blue. In contrast, healthy skin will have no reaction.

Classification
Classification attempts to quantify vitiligo have been analyzed as being somewhat inconsistent, while recent consensus have agreed to a system of segmental vitiligo (sv) and non-segmental vitiligo (nsv). Nsv is the most common type of vitiligo.
Non-segmental

  • Eyelid vitiligo

In non-segmental vitiligo (nsv), there is usually some form of symmetry in the location of the patches of depigmentation. New patches also appear over time and can be generalized over large portions of the body or localized to a particular area. Extreme cases of vitiligo, to the extent that little pigmented skin remains, are referred to as vitiligo universalis. Nsv can come about at any age (unlike segmental vitiligo, which is far more prevalent in teenage years). 
Classes of non-segmental vitiligo include the following:

  • Generalized vitiligo: the most common pattern, wide and randomly distributed areas of depigmentation 
  • Universal vitiligo: depigmentation encompasses most of the body
  • Focal vitiligo: one or a few scattered macules in one area, most common in children 
  • Acrofacial vitiligo: fingers and periorificial areas 
  • Mucosal vitiligo: depigmentation of only the mucous membranes

Segmental-
Segmental vitiligo (sv) differs in appearance, cause, and frequency of associated illnesses. Its treatment is different from that of nsv. It tends to affect areas of skin that are associated with dorsal roots from the spinal cord and is most often unilateral. It is much more stable/static in course and its association with autoimmune diseases appears to be weaker than that of generalized vitiligo. SV does not improve with topical therapies or uv light, however surgical treatments such as cellular grafting can be effective. 
Differential diagnosis
Chemical leukoderma is a similar condition due to multiple exposures to chemicals. Vitiligo however is a risk factor. Triggers may include inflammatory skin conditions, burns, intralesional steroid injections and abrasions. 
Other conditions with similar symptoms include the following:

  • Pityriasis alba
  • Tuberculoid leprosy
  • Postinflammatory hypopigmentation
  • Tinea versicolor 
  • Albinism
  • Piebaldism
  • Idiopathic guttate hypomelanosis 
  • Progressive macular hypomelanosis
  • Primary adrenal insufficiency

Treatment
There is no cure for vitiligo but several treatment options are available. The best evidence is for applied steroids and the combination of ultraviolet light in combination with creams. Due to the higher risks of skin cancer, the united kingdom's national health service suggests phototherapy only be used if primary treatments are ineffective. Lesions located on the hands, feet, and joints are the most difficult to repigment; those on the face are easiest to return to the natural skin color as the skin is thinner in nature.

  • Immune mediators- Topical preparations of immune suppressing medications including glucocorticoids (such as 0.05% clobetasol or 0.10% betamethasone) and calcineurin inhibitors (such as Tacrolimus or pimecrolimus) are considered to be first-line vitiligo treatments. 
  • Phototherapy- Phototherapy is considered a second-line treatment for vitiligo. Exposing the skin to light from uvb lamps is the most common treatment for vitiligo. The treatments can be done at home with an uvb lamp or in a clinic. The exposure time is managed so that the skin does not suffer overexposure. Treatment can take a few weeks if the spots are on the neck and face and if they existed not more than 3 years. If the spots are on the hands and legs and have been there more than 3 years, it can take a few months. Phototherapy sessions are done 2–3 times a week. Spots on a large area of the body may require full body treatment in a clinic or hospital. Uvb broadband and narrowband lamps can be used, But narrowband ultraviolet picked around 311 nm is the choice. It has been constitutively reported that a combination of uvb phototherapy with other topical treatments improves re-pigmentation. However, some vitiligo patients may not see any changes to skin or re-pigmentation occurring. A serious potential side effect involves the risk of developing skin cancer, the same risk as an over-exposure to natural sunlight.Ultraviolet light (uva) treatments are normally carried out in a hospital clinic. Psoralen and ultraviolet a light (puva) treatment involves taking a drug that increases the skin's sensitivity to ultraviolet light, then exposing the skin to high doses of uva light. Treatment is required twice a week for 6–12 months or longer. Because of the high doses of uva and psoralen, puva may cause side effects such as sunburn-type reactions or skin freckling. Narrowband ultraviolet b (nbuvb) phototherapy lacks the side-effects caused by psoralens and is as effective as puva as with puva, treatment is carried out twice weekly in a clinic or every day at home, and there is no need to use psoralen.
  • Skin camouflage- In mild cases, vitiligo patches can be hidden with makeup or other cosmetic camouflage solutions. If the affected person is pale-skinned, the patches can be made less visible by avoiding tanning of unaffected skin. 
  • De-pigmenting- In cases of extensive vitiligo the option to de-pigment the unaffected skin with topical drugs like monobenzone, Mequinol, or hydroquinone may be considered to render the skin an even colour. The removal of all the skin pigment with monobenzone is permanent and vigorous. Sun-safety must be adhered to for life to avoid severe Sunburn and melanomas. Depigmentation takes about a year to complete.
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