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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hyperpigmentation After Being Treated For Lichen Planus. Not Responding To Bleaches. Any Medication?

i am a 27 yr old African american woman who was diagnosed with lichen planus about 4 years ago. it has been treated and i have not had a flare up (thank God)... but i am left with hyperpigmentaton that cover my entire body excluding my face. i have tired every bleaching product available, over the counter and prescribed. i have been tanning and nothing seems to really work. i do have fair skin so the marks are very noticeable. if there is something you can suggest to help or get rid of the hyperpigmentation please advise. Thank you!
Mon, 26 Nov 2012
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Dermatologist 's  Response
Hi clarck,
Thanks for writing in.

You seem to have postinflammatory hyperpigmentation.
For pigmentation as a general rule-
Avoid sun exposure
Use a good sunscreen of SPF 30 and repeat application every 3 to 4 hours
Take antioxidant and vitamin c supplements .
As the area of pigmentation is large some internal medication should be taken and external treatment would be of little use. Glutathione supplements are available as capsule and injections they can be very useful.

You need to consult a dermatologist as dermatology being a visual field,the treatment required can only be suggested after proper skin examination.
Some procedure can be helpful like dermabrasion.


Take care.

DrSudarshan
MD Dermatology
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Hyperpigmentation After Being Treated For Lichen Planus. Not Responding To Bleaches. Any Medication?

Hi clarck, Thanks for writing in. You seem to have postinflammatory hyperpigmentation. For pigmentation as a general rule- Avoid sun exposure Use a good sunscreen of SPF 30 and repeat application every 3 to 4 hours Take antioxidant and vitamin c supplements . As the area of pigmentation is large some internal medication should be taken and external treatment would be of little use. Glutathione supplements are available as capsule and injections they can be very useful. You need to consult a dermatologist as dermatology being a visual field,the treatment required can only be suggested after proper skin examination. Some procedure can be helpful like dermabrasion. Take care. DrSudarshan MD Dermatology