Post-inflammatory hyperpigmentation PIH can be as a result of electromagnetic devices such as ultrasound, radiofrequency and lasers and Microdermabrasion. Post inflammatory hyper pigmentation is in its most extreme state with patients whose basal cell layer of the epidermis is effected in cases of lichenoid dermatoses or lupus erythematosus which are both allergic reactions both causing the skin to erupts in redness and causing the skin or dermis to attach the healthy parts of the skin
As your skin responds to this reaction on the skin it releases a range of acids and hormones effectively attacking the immune and pigmentation cells in the skin.Under these conditions your skin has come under attack from itself and the unfortunate reaction of the skin to this attack are these signs. The inflammatory impacts of these acids and hormones on your skin causes the skins’ cells keratinocytes to change. You will see a change in color in the skin and the skin will become sore possible displaying signs of eczema and other blotchiness.
Who is At Risk
Post-inflammatory hyperpigmentation can infect both caucasian and dark skinned patients, but does occur predominately in darker skinned groups. Asians have also found to be heavily affected by this allergic reaction to particular treatments on the skin.The inflammation generally will not cause death in patients but when the inflammation is found on sensitive areas you might find the area to be particularly painful.The disease generally does not differentiate between races but since pigmentation plays a central role in the condition racial groups with darker skin will have a greater risk of getting this reaction of the skin. Sex and age of patients are of no particular group and you can find young and old, male and female suffering from the skins’ reaction to these treatments
The Treatment for post-inflammatory hyperpigmentation is difficult and it is a lengthy process to sufficiently treat the issue and can take as long as 12 months to really see any results. While these treatments will improve epidermal hypermelanosis they have yet to improve dermal hypermelanosis effectively. Broad-spectrum sunscreen features heavily as part of any therapy.
A mix of topical treatment options have been used to treat epidermal post-inflammatory hyperpigmentation with inconsistent results. They include hydroquinone, tretinoin cream, corticosteroids, glycolic acid (GA), and azelaic acid. You can discuss with your dermatologist the preferred choice of ointments, creams and procedures to alleviate pain and symtoms in your particular case. A possible combination is using creams with chemical peels to lighten the area with continued use of sunscreen can result in considerable improvements to your condition but are limited to epidermal hyperpigmentation
Topical tretinoin has proven too effective to treat post-inflammatory hyperpigmentation. An option to patner GA peels together with tretinoin and hydroquinone also show promising signs in treatment in darker skinned cases. As the skin improves hydroquinone—lactic acid ointment can be added as part of the regimen alongside tretinoin for effective bleaching. If success continues you might want to then add hydroquinone to the treatment to improve the chances of healing.
Topical azelaic acid has seen great results with acne and it the treatment has seen improvements in post-inflammatory hyperpigmentation as well. There are cases where people will get acne and also the skin will react causing post-inflammatory hyperpigmentation. azelaic acid can be a really important treatment for these underlying issues.
As part of the overall treatment, pigmented makeup can be successful at covering up the disease and work to meld the colors of the affected area with the healthy surrounding skin.