5 Things You Need to Know About Post-Inflammatory Pigmentation

1. Certain Conditions Can Get Under Your Skin

It's bad enough to have to suffer through a severe bout of acne or a case of contact dermatitis. But on top of that, a condition known as post-inflammatory pigmentation can sometimes result from having any type of skin inflammation. Acne scarring is an example. Areas of the skin may become discolored (anywhere from light to dark, mostly black or dark brown patches). Though dark-skinned individuals are more likely to be afflicted (the condition also lasts longer in those with darker skin), post-inflammatory pigmentation is not contained to any specific race or gender.

2. Rubbing, Itching And Popping

When our skin itches, we scratch it. When we have a pimple, our instinct is to pop it. But irritating the skin when we have any type of skin inflammation can damage the skin tissue and result in post-inflammatory pigmentation. Besides acne and dermatitis, other causes of skin inflammation, such as wounds or burns, may lead to post-inflammatory pigmentation. Some allergic reactions, or a reaction to certain medications, might also induce post-inflammatory pigmentation.

3. A Slow Fade

On a positive note, the affected patches are generally no deeper than the epidermis, or outer layer of the skin. Many cases of post-inflammatory pigmentation fade away over time on their own as the skin sheds the dead cells. This process may take a few months, and as long as a year or 18 months before the skin returns to its normal complexion. In the meantime, as many people are self-conscious of these spots, makeup can be used to cover them. Also, exposure to sun can make them worse, so it's recommended to use an oil-free sunscreen when outdoors.

4. Is There a Dermatologist in the House?

For those whose pigmentation is severe, treatment from a dermatologist will be needed. A topical bleaching cream such as hydroquinone may be used to help return the skin to its normal color. A topical ointment containing vitamin C and kojic acid has shown promise in treating post-inflammatory pigmentation as well. Acid or chemical peels to remove layers of damaged skin tissue is also an option, but can result in increased skin sensitivity (post-inflammatory pigmentation might also be a side effect of chemical peels in darker-skinned individuals).

5. Early Treatment is Essential

What we do while we have any type of skin inflammation will have a direct impact on the development of post-inflammatory pigmentation. It's best to seek immediate medical care of any type of skin inflammation. Treating the infected areas of the skin with topical steroids will promote faster healing and reduce the time of inflammation. Not rubbing or scratching infected areas will also help lessen the chances of skin discolorations.

Last updated on: Nov 18, 2009

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