Pigmentation disorder

Medical condition
Pigmentation disorder
SpecialtyDermatology

Pigmentation disorders are disturbances of human skin color.[1] There may be a loss or reduction, which may be related to loss of melanocytes or the inability of melanocytes to produce melanin or transport melanosomes correctly.[1]

Most pigmentation disorders involve the underproduction or overproduction of melanin.[2][3]

Causes

Skin pigmentation is a frequent disorder that has a number of potential causes. Genetics, sun exposure, and some drugs are the three main factors that contribute to skin pigmentation.[4]

The most frequent cause of low melanin concentration (hypopigmentation) is prior skin trauma, which includes skin lesions including blisters, burns, infections, exposure to chemicals, and other wounds. The skin will appear paler than the surrounding skin surface once an injury has healed.[4]

Different areas of the skin may become hypopigmented as a result of other genetic illnesses. Hypopigmentation can be caused by hereditary conditions such as vitiligo, melasma, pityriasis versicolor, pityriasis alba, albinism, and fungal infections.[4]

Hyperpigmentation results from an increase in melanin synthesis, which is mostly brought on by sun exposure, dermatological disorders, hormones, aging, genetic factors, skin injuries or inflammation, and acne. Sun exposure is the most common cause of hyperpigmentation since it greatly increases the synthesis of melanin.[4]

Mechanism

Genetics is one of the most common causes of skin color. The number of melanocytes that each person will have may be predicted by genetics. Skin cells called melanocytes are responsible for producing melanin. Melanosomes, which are organelles containing melanin, must be transported and increased during hyperpigmentation and tanning, while they shrink during hypopigmentation.[4]

Skin pigmentation is frequently caused by sun exposure. To protect itself against UV radiation from the sun, the body makes more melanin. As a result, the skin may become more pigmented to protect it from the sun's rays.[4]

The pigmentation of the skin may also be lightened by certain drugs. Antibiotics are one type of medications that can increase the synthesis of melanin, which darkens skin. Skin pigmentation may also become more intense when certain drugs, such birth control pills, are taken concurrently.[4]

References

  1. ^ a b James, William D.; Elston, Dirk; Treat, James R.; Rosenbach, Misha A.; Neuhaus, Isaac (2020). "36. Disturbances of pigmentation". Andrews' Diseases of the Skin: Clinical Dermatology (13th ed.). Edinburgh: Elsevier. pp. 862–880. ISBN 978-0-323-54753-6.
  2. ^ "MedlinePlus: Skin Pigmentation Disorders".
  3. ^ "Introduction: Pigment Disorders: Merck Manual Home Edition".
  4. ^ a b c d e f g Thawabteh, Amin Mahmood; Jibreen, Alaa; Karaman, Donia; Thawabteh, Alà; Karaman, Rafik (2023-06-18). "Skin Pigmentation Types, Causes and Treatment—A Review". Molecules. 28 (12). MDPI AG: 4839. doi:10.3390/molecules28124839. ISSN 1420-3049. PMC 10304091.

Further reading

  • Plensdorf, Scott; Livieratos, Maria; Dada, Nabil (2017-12-15). "Pigmentation Disorders: Diagnosis and Management". American Family Physician. 96 (12): 797–804. Retrieved 2024-03-01.
  • Plensdorf, Scott; Martinez, Joy (2009-01-15). "Common Pigmentation Disorders". American Family Physician. 79 (2): 109–116. Retrieved 2024-03-01.

External links

  • DermNet
  • Johns Hopkins Medicine
Classification
D
External resources
  • Scholia: Q7193408
  • v
  • t
  • e
Pigmentation disorders/Dyschromia
Hypo-/
leucism
Loss of
melanocytes
Vitiligo
Syndromic
Melanocyte
development
Loss of melanin/
amelanism
Albinism
Melanosome
transfer
Other
Leukoderma w/o
hypomelanosis
Ungrouped
Hyper-
Melanin/
Melanosis/
Melanism
Reticulated
Diffuse/
circumscribed
Linear
Other/
ungrouped
Other
pigments
Iron
Other
metals
Other
Dyschromia
See also
  • v
  • t
  • e
Congenital malformations and deformations of integument / skin disease
Genodermatosis
Congenital ichthyosis/
erythrokeratodermia
AD
AR
XR
Ungrouped
EB
and related
Ectodermal dysplasia
Elastic/Connective
Hyperkeratosis/
keratinopathy
PPK
Other
Other

see also Template:Congenital malformations and deformations of skin appendages, Template:Phakomatoses, Template:Pigmentation disorders, Template:DNA replication and repair-deficiency disorder

Developmental
anomalies
Midline
Nevus
Other/ungrouped
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