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Discolored Patches of Skin - An Overview

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Discolored skin patches can be a part of the aging process or indicate an underlying medical condition that needs medical attention. Read more on this below.

Medically reviewed by

Dr. Suvash Sahu

Published At October 5, 2023
Reviewed AtDecember 4, 2023

What Is Skin Discoloration?

Skin discoloration can be annoying, mainly when it appears on the face. However, it can be a regular part of the aging process or something to be worried about. Skin discoloration can involve large or small areas of skin. The skin consists of melanin, a pigment that provides skin with its color. More melanin darkens the skin, while fewer melanin results in lighter skin. Discolored skin patches are often noticeable because they differ from an individual's normal skin tone. They can be more delicate, darker, or range in color, such as red, gray, or blue. There can be various causes of skin discoloration, including birthmarks, pigmented disorders, infections, rashes, and hormonal changes. People with skin discoloration must know the cause of discolored skin patches for proper treatment options.

What Causes Skin Discoloration?

There are many possible causes of skin discoloration, varying from minor issues to more serious medical conditions. These causes may include the following:

  • Burns: Skin discoloration can occur from burns associated with injuries and sunburns. They can damage the skin, and when these burns heal, scar tissue different from the skin color is formed.

  • Infections: Various bacterial, viral, and fungal infections can lead to discolored skin.

Bacterial Infections: Cuts, scrapes, and other types of wounds may become infected when the bacteria enter, which results in changes in skin texture. The surrounding area may also become red or white, and the wound itself may have discharged.

Fungal Infections: Fungal infections, like ringworm, tinea versicolor, and candida, can cause discolored skin patches on various body parts.

Viral Infections: Viral infections, such as cold sores, shingles, and warts, may lead to red or brown bumps or sores on the skin.

  • Hormonal Changes: Hormonal changes can trigger changes in skin color, especially during pregnancy. Due to elevated levels of the female hormones estrogen and progesterone, skin discoloration often occurs.

  • Skin Pigmentation Disorders: These disorders can cause changes in the skin that are lighter (hypopigmentation) or darker (hyperpigmentation) than the natural skin tone. While these disorders are usually harmless, more extensive pigmentation changes may require aesthetic treatments. Types of pigmentation disorders include:

Melasma: Also known as the mask of the pregnancy, this is a common skin disorder that causes brown spots on the skin of the face and abdomen. It usually affects women more than men.

Vitiligo: This chronic disease can affect any part of the body. It causes the melanocytes (melanin-producing cells) to stop working properly, resulting in large patches of hypopigmentation.

  • Albinism: It is a genetic disorder in which a person inherits a defective gene from one or both parents. People with albinism do not make enough melanin, producing little or no pigment in the skin, hair, or eyes.

Medical Conditions: Some autoimmune diseases and medical conditions can trigger skin discoloration. These include:

Rosacea: This persistent skin condition can cause skin flushing and redness. Some types of rosacea may cause raised red skin patches and pus-filled lesions.

Psoriasis: This is a chronic skin disorder characterized by scaly, crusted, silver-red patches of skin that can occur anywhere on the body.

  • Rashes and Allergies: Allergic reactions to certain foods, plant, and plant products, and irritants can result in discolored skin patches on body parts. These changes usually appear as raised bumps that itch, burn, or rash and can occur in the following:

Contact Dermatitis: This is another type of allergic skin rash that happens after contact with certain substances (allergens) such as fragrances, skin care products, metals, or clothing that irritates the skin. The rashes are usually itchy and sometimes even painful.

Eczema (Atopic Dermatitis): This skin condition is scaly and itchy, with dry patches and red bumps that ooze or crust over.

  • Hives (Urticaria): These are the raised, itchy bumps on the skin that result from inflammation from the body releasing histamine in response to an allergen.

  • Skin Cancer: Skin cancers, such as basal cell carcinoma, squamous cell carcinoma, and melanoma, can alter the skin's color or texture.

  • Other causes: The discolored patches of skin may appear suddenly and then disappear. Causes of the sudden appearance of these temporary skin patches or spots include:

Exercise.

Cold weather.

Tan.

Dehydration.

Nausea.

Low blood sugar.

Medication side effects.

How Are Discolored Skin Patches Diagnosed?

One should schedule an appointment with a health professional if they:

  • Have lasting changes in their skin color.

  • Notice a new growth or mole on their skin.

  • Have an existing growth or mole on the skin that changed in size or appearance.

  • Have any other symptoms, including pain, inflammation, or discharge.

The diagnosis is based on physical examination and medical history. The professional may also order further diagnostic tests to determine the root cause of skin discoloration, such as

  • Blood tests to look for conditions that may cause skin changes.

  • A Wood's lamp examination to determine possible fungal or bacterial infections.

  • A skin biopsy is done by taking and testing a small amount of the affected skin under a microscope for abnormal cells.

How Is Skin Discoloration Treated?

Treatment for skin discoloration typically depends on the underlying cause. However, the treatment options may include the following:

  • Laser Therapy - Q-switching lasers and intense pulsed light devices are often used to lighten areas of darkened skin.

  • Topical Creams - Prescription retinol (vitamin A) and topical hydroquinone cream can aid in diminishing the appearance of dark spots on the skin.

  • Chemical Peels - These peels contain salicylic acid and glycolic acid and can be used to remove the discolored outermost layer of the skin.

It is essential to ask a healthcare professional before trying any topical treatments or home-based remedies to treat skin discoloration. Additionally, discuss each treatment's side effects, cost, and effectiveness.

How Is Skin Discoloration Prevented?

Although avoiding all causes of skin discoloration is impossible, a few tips listed below can help minimize the risk of skin discoloration:

  • Use sunscreen with a (sun protection factor) SPF of at least 30.

  • Wear hats or protective clothing that blocks sunlight.

  • Avoid sun exposure during the time of day when it is strongest (10 am to 4 pm).

  • Avoid certain medications that can cause skin changes.

What Is the Outlook for People With Skin Discoloration?

There are numerous potential causes of discolored skin patches. Some causes, like birthmarks, are harmless and may not require treatment unless desired for cosmetic reasons. Other reasons, such as skin cancer, often require immediate treatment. See a healthcare provider if any new discolored patches appear, a new existing growth, or mole changes on the skin. This help makes prompt diagnosis and treatment possible, leading to a better outlook.

Conclusion

Skin discoloration can be annoying, mainly when it occurs on the face. It can be a normal part of the aging process or indicate something to be worried about. There are various possible reasons for skin discoloration, varying from minor issues to more serious medical conditions. Treatment for skin discoloration typically depends on the underlying cause. Seeking urgent medical assistance is paramount if the skin condition worsens or new growths, bleeding, or signs of infection occur. Skin discoloration can be distressing, but with the proper treatment, one can minimize its impact on the appearance and quality of life.

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Dr. Suvash Sahu
Dr. Suvash Sahu

Dermatology

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