Post Inflamatory Pigmentation
What Is post inflammatory hyper pigmentation?

Post Inflammatory Hyper Pigmentation is the discolouration of the skin, where the skin turns dark after any inflammation on the skin which could be due to an injury or because of disease like psoriasis, eczema, acne, etc. The main cause of PIH is increase in melanin (pigment that defines the colour in the skin) production which in turn triggers the healing of skin after inflammation or injury.

What are the causes of post inflammatory hyper pigmentation?

The Post inflammatory hyper pigmentation can occur after trauma which can be physical or chemical and it can also occur after skin diseases like lichen planus (inflammatory skin disease), psoriasis, eczema, etc. And even after some procedures as a side effects like lasers, peels etc.

Is there any genetic predisposition for this condition?

There is no such genetic predisposed directly but people who have darker skin colour can have more post inflammatory hyper pigmentation as compare with whiter skin colour.

Things to Know

In most of the cases with post inflammatory hyper-pigmentation responds to medicines very well. However in some cases laser like ND-Yag Q switch laser and peels are required to treat post inflammatory hyperpigmentation.
Mostly topical de-pigmenting creams which inhibit melanin synthesis in the skin are used to treat post inflammatory hyper pigmentation. Use of sun screen is mandatory and medicines like kojic acid, arbutin, hydroquinone, licorice and glycolic acid are found to very useful in the skin treatments IPL, ND-YAG Q Switched laser, chemical peels are also useful in treating Post inflammatory hyper pigmentation. The best treatment option obviously will be decided by the physician.
Yes, treatments are safe but, sometimes PIH fails to respond to these treatments. Sometimes the condition may worsen post treatment. So the treatment should always be done under supervision of the dermatologist, proper evaluation of the patient should be done before the treatment.
Most Important is sun protection because PIH might worsen if one doesn’t follow proper instructions as told by dermatologist, the single most important aspect of the treatment is proper use of sunscreen as the skin becomes sensitive after the treatment is done.
According to Dr. Ruchi Agarwal, MD (renowned dermatologist), PIH in some patients responds very well, but sometimes PIH can be very troublesome especially the one which appears after some procedures like ND-Yag Q Switched laser, co 2 laser etc. So one has to be very careful about the treatment and follow all the precautions and instructions of the treatment.
A prior consultation is required with the dermatologist to understand the need of the treatment. Medicines work hand in hand with the procedural treatments. Selection of the right treatment according to your needs is very much necessary. Knowing the downtime of the individual treatment and its outcome is equally important. After a thorough consultation , patient can opt for the treatment and can get it done after taking a prior appointment as per his/her availability.

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