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Will Eidel-induced hypopigmented patch fade on its own?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I experienced a rash after an allergic reaction that spans from my chest, neck, and face. I removed the allergen from my diet and was prescribed Elidel to help clear the rash. However, I experienced over the course of two to three days, white patches which look as there is absolutely no pigment present in these areas.

Will hypopigmentation from the use of Elidel fade? I was prescribed Elidel for the first time for a rash on my face. I am pale, but these are extremely white patches reminiscent of acne scars (but being completely flat). Is this likely to be permanent? Will it fade? If it may fade, how long would this likely take? What are my potential treatment options? No major injury to the sites was noticed aside from the generalized rash that was being treated.

Please help.

Thankyou.

Answered by Dr. Megha Kakani

Education:

MBBS

Professional Bio:

Dr. Megha Kakani is a well-trained, focused, dedicated Dermatologist and Venereologist treating patients with various conditions. She has outstanding diagnostic skills and the ability to deliver effective treatment for timely and full recoveries. She has done comprehensive training in performing skin surgeries, including cosmetic procedures.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

If the patch is secondary to the use of Elidel (Pimecrolimus) fade cream, then it is temporary. Within two or three months gradually it will subside. Right now do not use anything else on the face except for sunscreen and moisturizer. If it does not subside even after three months, then you can go for the treatment. In treatment there are medicines available which helps in repigmentation of the skin. But right now do not apply any medicines. Let it heal on its own.

Probable diagnosis: Post-inflammatory hypopigmentation.

Treatment plan: Sunscreen and moisturizer.

Regarding follow-up: One month.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.

Patient's Query

Thank you doctor,

Just to clarify, do you mean that if the patches are caused by the cream, then it will likely fade with the given time? Also, what would be the recommended medicines in the case that it does not fade?

Thankyou.

Answered by Dr. Megha Kakani

Education:

MBBS

Professional Bio:

Dr. Megha Kakani is a well-trained, focused, dedicated Dermatologist and Venereologist treating patients with various conditions. She has outstanding diagnostic skills and the ability to deliver effective treatment for timely and full recoveries. She has done comprehensive training in performing skin surgeries, including cosmetic procedures.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

Yes, if it is because of medicine it will fade with time. In case, if it does not fade then it is unlikely that it is because of medicine. In case, if it does not fade then start using Tacrolimus cream 0.03%. Apply at night.

I hope this helps.

Thankyou.

Medically reviewed by Dr. Vinodhini J.
Published At January 26, 2020
Reviewed At January 31, 2025

Education:

MBBS

Professional Bio:

Dr. Megha Kakani is a well-trained, focused, dedicated Dermatologist and Venereologist treating patients with various conditions. She has outstanding diagnostic skills and the ability to deliver effective treatment for timely and full recoveries. She has done comprehensive training in performing skin surgeries, including cosmetic procedures.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Megha Kakani is a well-trained, focused, dedicated Dermatologist and Venereologist treating patients with various conditions. She has outstanding diagnostic skills and the ability to deliver effective treatment for timely and full recoveries. She has done comprehensive training in performing skin surgeries, including cosmetic procedures.

This doctor is not available for online consultations on the platform anymore.

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