Pigmentation Disorders

Pigmentation Disorders

Pigmentation Disorders

The change  of the colour of skin from the normal skin of a person is call pigmentation. If the colour is darker (Increased Skin Colour )from the normal skin it is called Hyperpigmentation if lighter ( Reduced Skin colour ) then it is called Hypopigmentation.
Pigmentation varies in person according to the racial origin and the sun exposure
HYPERPIGMENTATION
Localised Pigmentation
Melanin is the pigment which gives colour to the skin , It is produced by Melanocytes or Pigment cells.
Melasma , Urticaria Pigmentosa , Post Inflammatory Pigmentation.
Keratin it is the protein produced by skin cells or Keratinocytes :: Ichthyosis , Xerosis , Erythrasma , Acnathosis nigricans.
Haemosiderine – It is the breakdown product of haemoglobin , the red pigment in blood cells :: Capillaritis , Purpura , Bruises.
Drug Eruptions :: Pigmentation due to Fixed Drug Eruptions FDR

Other Hyperpigmentation Disorders are ::
Acantosis nigricans,   Alkaptonuia,   Backer Nevus,  Berlogue Dermatitis ,Cholasma , Congenital Naevi,        FDR , Erythema ab igne,  Flagellate erythema, Freckels , Idopathic Eruptive macular pigmentation , Lichen Planus Pigmentosa , Lipodermatosclerosis , Moles , Mangolian Spot, Morphoea , Naevi of ota & Ito , Neurofibromatosis , Ochronosis , Pigmented contact chelitis , Pigmented purpura , Prurigo Pigmentosa , Purpura , Systemic Sclerosis , Tinea Nigra.
Generalised Hyperpigmentation
It is the disorder may arise due to to excessive circulating Melanocye Stimulating Hormones (MSH). Mostly it is seen in Addison’s Disease , pressures areas , in flexures, scars and buccal mucosa.
Generalised pigmentation can also rarerly be a sign of Sec. Melanoma or Metastatic disorders.
GENERALLY DARK SKIN are in ::

  • Addison’s Disease
  • Drug Induced Pigmentation ( Chemotherapy , Silver , Pehnothiazines )
  • Haemochromatosis
  • Ichthysosis
  • Sezary Syndrome
  • Porhhyria cutanea trada
  • Systemic sclerosis
  • Wilson’s Disease

HYPOPIGMENTATION
Localised Hypopigmentation may be due to the loss of pigment melanin , either partial or complete.
Generalised Hypopigmentation is the reduction of the melanin pigment at birth ,usually racial origin or due to albinism. Pituitary failure resulting in lack of MSH  rerely results in aquired hypomelanosis.
The Main disgnosis to be consider for Hypopigmentation are ::
Albinism
Atrophie blanche
Bleaching creams
Degos disease
Halo moles
Chemical leucoderms
Hypomelanosis of Ito
Idopathic guttate hypomelanosis
Leprosy
Lichen sclerosus
Lupus erythematosus
Morphoea
Mycosis fungoides
Piebladism
Pityriasis alba
Pityriasis versicolor
Poliosis
Posty inflammatory (Trauma , Burns , Skin diseases)
Sarciodosis
Systemic sclerosis
Tuberous sclerosis (Ashleaf spots)
Vitiligo

PHYTOPHOTODERMATITIS
It refers to a phototoxic reaction due to contact with plants. It is induced by UVA radiation on a plant chemical called furocomarins – psoralens.
The patients have symptoms in spring and summer during the acute inflammatory stage.
AYURVEDIC TREATMENT OF PIGMENTATION DISORDERS
There is a very effective treatment for  Pigmentations.
Herbal and Ayurvedic Oral Medications to control the melanocytes to produce normal level of pigmentation.
Herbal Creams , Herbal Lotions and Herbal Face packs are used safely for local application for pogmentary disorders.
Panchakarma Beauty therapies are used for Melasma , Pigmentations , Scars , Freckles and other beauty related problems.
Vitiligo or Leucoderma and white spots are very safely treated with AYURVEDIC AND HERBAL MEDICATION.

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