Conflict of Interest None declared.
Hyperpigmentation: types, diagnostics and targeted treatment options
Article first published online: 3 DEC 2012
© 2012 The Author. Journal of the European Academy of Dermatology and Venereology © 2012 European Academy of Dermatology and Venereology
Journal of the European Academy of Dermatology and Venereology
Special Issue: The Hype about Hyperpigmentation. Update on Latest Research on Pathogenesis and Treatment Options of Hyperpigmentory Disorders as Melasma and Post-inflammatory Hyperpigmentation and the Evidence on a Novel Inhibitor of Human Tyrosinase: 4-n-Butylresorcinol
Volume 27, Issue Supplement s1, pages 2–4, January 2013
How to Cite
Nieuweboer-Krobotova, L. (2013), Hyperpigmentation: types, diagnostics and targeted treatment options. Journal of the European Academy of Dermatology and Venereology, 27: 2–4. doi: 10.1111/jdv.12048
- Issue published online: 3 DEC 2012
- Article first published online: 3 DEC 2012
Background Pigment formation is highly complex. It is involved in inflammation, sun protection and many other processes. For practical purposes, such as exposure time for sun tanning, six skin types are distinguished according to Fitzpatrick, listed in decreasing lightness. The hyperpigmentation commonly occurs in Fitzpatrick skin types III to VI and can have a considerable impact on quality of life.
Material & Methods In this article we will give an overview of normal variations of pigmentation and the most often common pigment abnormalities. It also reviews diagnostics and the current targeted treatment options of epidermal and dermal pigmentation.
Results There are multiple hyperpigmented skin lesions, classification of pigmentation is based on histology or Woods light examination. Bleaching agents with phenolic compounds with non-phenolic agens as follow-up therapy appears to be the most beneficial treatment options for the hyperpigmentation.
Conclusions The effective treatment of pigment disorders is characterized by influence of melanin formation, but the therapy should be based on a the correct diagnosis and always targeted to the other histopathological processes in the skin. The Woods light examination shows clinical aspect of the lesions and may be helpful in the determination of the diagnosis.