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Causes of Hypomelanosis of Ito

Hypomelanosis of Ito Causes: Book Excerpts

Hypomelanosis of Ito as a symptom:

Conditions listing Hypomelanosis of Ito as a symptom may also be potential underlying causes of Hypomelanosis of Ito. Our database lists the following as having Hypomelanosis of Ito as a symptom of that condition:

Related information on causes of Hypomelanosis of Ito:

As with all medical conditions, there may be many causal factors. Further relevant information on causes of Hypomelanosis of Ito may be found in:

Causes of Hypomelanosis of Ito: Online Medical Books

16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the causes of Hypomelanosis of Ito.

Hypopigmentation [Hypomelanosis]: Medical causes
(Professional Guide to Signs & Symptoms (Fifth Edition))

Albinism

This genetically inherited disease involves alterations of the melanin pigment system that affects skin, hair, and eyes. There are various forms of albinism, all of which are present at birth. Skin and hair color vary from snow white to brown, but the universal finding of iris translucency confirms the diagnosis. Associated eye findings include nystagmus, decreased visual acuity, decreased pigmentation of the retina, and strabismus.

Lifelong diligence is needed to protect the skin from sun exposure, including using sunblock with an SPF greater than 30; wearing protective clothing, hats, and sunglasses (even for infants); avoiding the sun during high solar intensity; and obtaining routine skin examinations for the development of skin cancers.

Suggest referral to a support group to assist patients with problems occurring in daily life. One such organization is the National Organization for Albinism and Hypomelanosis (NOAH).

Burns

Thermal and radiation burns can cause transient or permanent hypopigmentation.

Discoid lupus erythematosus

This form of lupus erythematosus may produce hypopigmentation after inflammatory skin eruptions. Lesions are sharply defined, separate or fused macules, papules, or plaques; they vary from pink to purple, with a yellowish or brown crust and scaly, enlarged hair follicles. Although they may occur on other parts of the body, the lesions are typically distributed in a butterfly pattern over the cheeks and bridge of the nose. Telangiectasia may occur. After the inflammatory eruptive stage, noncontractile scarring and atrophy commonly affect the face and may also involve sun-exposed areas of the neck, ears, scalp (with possible alopecia), lips, and oral mucosa.

Hypomelanosis (idiopathic guttate)

Common in lightly pigmented people older than age 30, this skin disorder produces sharply marginated, angular white spots on sun-exposed extremities. In blacks, hypopigmentation occurs mainly on the upper arms.

Inflammatory and infectious disorders

Skin disorders, such as psoriasis, and infectious disorders, such as viral exanthemas or syphilis, can cause transient or permanent hypopigmentation.

Tinea versicolor

This benign fungal skin infection produces scaly, sharply defined lesions that usually appear on the upper trunk, neck, and arms. The lesions range from hypopigmented patches in dark-skinned patients to hyperpigmented patches in fair-skinned patients.

Tuberculoid leprosy

This chronic disorder affects the skin and peripheral nervous system. Erythematous or hypopigmented macules have decreased or absent sensation for light, touch, and warmth. Because the lesions don’t sweat, the skin feels dry and rough; it may be scaly. Associated effects may include very painful, palpable peripheral nerves; muscle atrophy and contractures; and ulcers of the fingers and toes.

Vitiligo

This common skin disorder produces sharply defined, flat white macules and patches ranging in diameter from 1 to over 20 cm. The hypopigmented areas commonly have hyperpigmented borders. Usually bilaterally symmetrical, lesions appear on sun-exposed areas; in body folds; around the eyes, nose, mouth, and rectum; and over bony prominences. Patches of vitiligo may coalesce to form universal lack of pigment and may involve the hair, eyebrows, and eyelashes. Spontaneous repigmentation can occur. Hypopigmented patches (halo nevi) may surround pigmented moles.

Other causes

Chemicals

Most phenolic compounds—for example, amylphenol (a dye) and paratertiary butylphenol (PTBP), which are used in plastics and glues, and germicides used in many household and industrial products—can cause hypopigmentation.

Drugs

Topical or intralesional administration of corticosteroids causes hypopigmentation at the treatment site. Chloroquine, an antimalarial drug, may cause depigmentation of hair (including eyebrows and lashes) and poor tanning 2 to 5 months after therapy begins.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006


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