How can I treat skin pigmentation on my lower legs?

Doctor's Answers 4

I will have to agree with Dr Irenaeus that it is difficult to diagnose a pigmentary condition without an examination and assessment.

Eczema is an inflammatory condition and often leaves a mark even after resolution. These marks are called Post-Inflammatory Hyperpigmentation aka PIH.

This can be treated by:

  1. Controlling your eczema (moisturizers, topical steroid creams etc)
  2. Lightening creams
  3. Q-Switch lasers

Nonetheless, the first step would be to seek a professional medical opinion.

Hope this helps. All the best!

Doctors will have to see the pigmentation on the lower legs to diagnose it, and confirm if suitable for pigmentation laser or pigmentation cream.

There can be a wide range of diagnosis for brown pigment on the lower legs:

1) Birthmarks

2) PIH(post inflammatory pigmentation)

3) Acanthosis nigricans

It will be best to see a doctor to confirm the diagnosis, and hence the cost.

Pigmentation on the legs can be due to a number of causes. Following eczema, the pigmentation is most likely post-inflammatory hyperpigmentation. This usually fades with time but may take weeks to months to clear. Some lightening creams may be prescribed to help this lighten faster. The benefits from laser for this condition though is less predictable.

You did mention that your pigmentation has been there for years, so other causes of lower leg pigmentation including pigmented purpuric dermatosis, stasis dermatitis and lentigines should be considered. So it may be advisable for you to see a dermatologist/doctor to confirm the diagnosis and advice on management.

A variety of conditions can cause brown pigmentation on the lower legs. It would be advisable to have a doctor have a look at it for proper assessment.

Eczema on its own could worsen the condition and possibly leave dark marks known as Post Inflammatory Hyperpigmentation (PIH).

Best way to go about it would be to keep the eczema under control with the use of moisturizers and/ steroid creams.

Depending on the cause of the brown pigmentation, it can typically be treated by:

  1. Lightening creams
  2. Q- Switch Lasers

Hope this helps! šŸ™‚

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