hyperpigmentation

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Q: what is hyperpigmentation?
Hyperpigmentation is the increase in the natural color of the skin.  Melanin, a brown pigment manufactured by certain cells in the skin called melanocytes, is responsible for skin color. Melanin production is stimulated by a pituitary hormone called melanocyte stimulating hormone (MSH). 

Q: why does it happen?



  • The most ominous ismalignant melanoma, a very aggressive cancer that begins as an innocent mole. The majority of moles (nevus), however, are and remain benign (harmless). The average person has several dozen, and certain people with a hereditary excess may have hundreds. 
  • Freckles, age spots, and cafe au lait spots, known as ephelides, are always flat and not as dark. Cafe au lait spots are seen mostly in people with another hereditary disorder called neurofibromatosis. 
  • "Port wine stains" are congenital dark red blotches on the skin. Other common dark colorations on the skin are called keratosis and consist of locally overgrown layers of skin that are dark primarily because there is more tissue than normal. 
  • A few of these turn into skin cancers of a much less dangerous kind than melanoma.
  • Darkened regions of the skin occur as a result of abnormal tanning when the skin is sensitive to sunlight. Several diseases and many drugs can causephotosensitivity. 
  • Among the common drugs responsible for this uncommon reaction are birth control pills, antibiotics (sulfonamides and tetracyclines), diuretics, nonsteroidal anti-inflammatory drugs (NSAID), pain relievers, and some psychoactive medications. Some of the same drugs may also cause patches of discolored skin known as localized drug reactions and representing an allergy to that drug. Sunlight darkens an abnormal chemical in the skin of patients with porphyria cutanea tarda. 
  • Several endocrine diseases, some cancers, and several drugs abnormally stimulate melanocytes, usually through an overproduction of MSH. Arsenic poisoning and Addison's disease are among these causes. A condition known as acanthosis nigricans is a velvety darkening of skin in folded areas (arm pits, groin, and neck) that can signal a cancer or hormone imbalance.
  • Of particular note is a condition called melasma (dark pigmentation of the skin), caused by the female hormone estrogen. Normal in pregnancy, this brownish discoloration of the face can also happen with birth control pills that contain estrogen.
  • Overall darkening of the skin may be due to pigmented chemicals in the skin. Silver, gold, and iron each have a characteristic color when visible in the skin. Several drugs and body chemicals, like bilirubin, can end up as deposits in the skin and discolor it.
  • There are a number of other rare entities that color the skin, each in its own peculiar way. Among these are strange syndromes that seem to be birth defects and vitamin and nutritional deficiencies.
Q: peri orbital pigmentatation management?
cap fefol Z at night n depiwhite cream/ coziwit cream at night.

Q: what is the home remedy?

Sunlight is the leading cause of dark spots on the skin, so shade and sunscreens are necessary preventive strategies, especially in people who burn easily. 
Q: what are other treatment options?

Skin sensitive to sunlight must be protected by shade or sunscreens with an SPF of 15 or greater. Skin cancers must be, and unsightly benign lesions may be, surgically removed. Laser surgery is an effective removal technique for many localized lesions. Because it spreads so rapidly, melanoma should be immediately removed, as well as some of the surrounding tissue to prevent regrowth.

cases: 

Q: acanthosis nigricans: underarms n neck line are usually darker than rest of skin. weight gain is 1 of the most common reason. so work on actively work on loosing weight. n start applying cream 'xerina' to lighten the affected areas. also go to endocrinologist for hormonal check up to check any other cause for the same condition. 
Q: waxing usually leads to folliculitis. better opt for laser hair reduction. 
Q: age 20, f, stretch marks on thighs: really difficult for stretch marks to go away. laser treatments helps them to fade away to some extent. apply 'cicatrix' to improve their appearance.
Q: age 20. f. acne of many yrs.now disappeared except few which occur in menses n in heat. skin is oily n sensitive to sun.  apply 'supatret gel' n 'femcinol'. for scar- go for derma roller or laser.
Q: hairfall due to flaking in winter- apply 'noSkurf lotion' on scalp at night. ash it next morning with an anti dandruf shampoo 8X. twice a week. dandruff leading to hairfall is myth. low hb in blood n chemical treatment of hair can be some reasons of hair fall. consult a good dermatologist.



The skin is considered the outside indicator of inside health

Top 5 foods for healthy Skin.

Green Tea

-- Green tea is rich in antioxidants that reduce inflammation and protect cell membranes. It has been proven to reduce the damage of sunburns and overexposure to ultraviolet light, which in turn reduces the risk of skin cancer. Green tea is also high in polyphenols -- compounds that eliminate cancer-causing free radicals.
Recent research by scientists at the Medical College of Georgia shows that the polyphenol most abundant in green tea -- EGCG -- also acts as a "fountain of youth" of sorts for skin by reactivating dying skin cells. In addition to its skin-healthy properties, green tea is also high in vitamins C, D and K, as well as riboflavin, zinc, calcium, magnesium and iron.

Salmon
-- Salmon -- along with other fatty fish, walnuts and flaxseed -- is high in healthy fatty acids that are key for achieving healthy skin. Essential fatty acids such as omega-3s help keep cell membranes healthy by keeping out harmful substances as well as allowing nutrients to enter cells and exit with waste products. Omega-3s also reduce the body's production of inflammatory agents that can damage the skin.
Increasing consumption of omega-3 fatty acid-rich foods such as salmon will help keep the skin supple and youthful. A 1:1 ratio of omega-6 fatty acids to omega-3s is ideal, but the ratio in the typical American diet is more like 20:1, so boosting consumption of salmon and other oily fish can help bring that ratio closer to 1:1. Salmon is also rich in protein, potassium, selenium and vitamin B12.

Blueberries, Oranges, Amla
-- highest food source of antioxidants, which target free radicals that can wreak havoc on skin cells. The antioxidants and phytochemicals (plant sources of nutrition) neutralize DNA-damaging free radicals, reducing cell damage. When skin cells are protected from damage and disintegration, the skin looks younger for longer. Blueberries are also an excellent source of soluble and insoluble fiber, vitamin C, manganese, vitamin E and riboflavin.

Carrots
-- Carrots are an excellent source of vitamin A, which is a required nutrient for healthy skin. They also contain high levels of antioxidants, which prevent free radical damage of skin cells. Vitamin A is required for developing and maintaining skin cells, and a deficiency of the vitamin can cause dry skin. Carrots are also a superior source of fiber, biotin, vitamins K, C and B6, potassium and thiamine.

Water
-- Drinking plenty of water -- at least your individual minimum intake -- will help keep your skin young and healthy-looking. Water in caffeinated or sugary beverages does not count; water intake must be from pure, clean water, which rejuvenates skin cells. Water both hydrates cells and helps them move toxins out and nutrients in. When the body is properly hydrated, it sweats more efficiently, which helps keep the skin clean and clear.

TAN: 

A sunburn is a form of radiation burn that affects living tissue, such as skin, that results from an overexposure to ultraviolet (UV) radiation, 

Exposure of the skin to lesser amounts of UV radiation will often produce a sun tan.

Sunburn can also be caused by pharmaceutical products that sensitize some users to UV radiation. Certain antibiotics, oral contraceptives, and tranquillizers have this effect

Symptoms:

Typically there is initial redness (erythema), followed by varying degrees of pain, proportional in severity to both the duration and intensity of exposure

Other symptoms are edema, itching, peeling skin, rash, nausea, fever, and syncope. Also, a small amount of heat is given off from the burn, caused by the concentration of blood in the healing process, giving a warm feeling to the affected area. Sunburns may be first- or second-degree burns.

One should immediately speak to a dermatologist if one develops a skin lesion that has an asymmetrical form, has darker edges than center, changes color, or becomes larger than 1/4 inch (6 mm)

Precautions :
Use of Water based Sunscreen SPF 30 or more (depends on Skin type)

Use of umbrella, cap or scarf

Use of UV protected Sun-glasses

Consumption of Adequate amount of water/fluids ( Always keep yourself hydrated)

Wear full-sleeves shirts/dresses (avoid direct skin exposure)
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FRECKLES:

Freckles are clusters of concentrated melanin which are most often visible on people with a fair complexion. A freckle is also called an "ephelis". Freckles do not have an increased number of melanin producing cells (melanocytes).

Freckles can be found on anyone no matter their genetic background; however, having freckles is genetic. The formation of freckles is triggered by exposure to sunlight. The exposure to UV-B radiation activates melanocytes to increase melanin production, which can cause freckles to become darker and more visible.
Freckles are predominantly found on the face, although they may appear on any skin exposed to the sun, such as the shoulders. Freckles are rare on infants, and more commonly found on children before puberty. 
Treatment: Upon exposure to the sun, freckles will reappear if they have been altered with 1. creams or 2. lasers and not protected from the sun, but do fade with age in some cases. Their intensity can be altered with 3. citric acid.
Freckles are not a skin disorder, but people with freckles generally have a lower concentration of photoprotective melanin and are therefore more susceptible to the harmful effects of UV-radiation. It is suggested that they 4. avoid overexposure and use 5. sunscreen.
Types: Ephelides describes a freckle which is flat and light brown or red and fades with reduction of sun exposure. Ephelides are more common in those with light complexions, although they are found on people with a variety of skin tones. The regular use of sunblock can inhibit their development.
Liver spots (also known as sun spots and lentigines) are freckles that may not fade in the winter. Rather, they form after years of exposure to the sun. Liver spots are more common in older people.