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1 Unexplained White Spots on Your Skin Could Be Caused by Aging By GERRIE SUMMERS. June 12, 2019 Many of us take great pains to make sure our skin is clear and pristine. (At Byrdie HQ, we've got the robust skincare regimens to prove it.) So, anytime something out of the ordinary pops up that we don't automatically know how to deal with, things can reach panic mode pretty quickly. For example, age spots. And we're not just talking about dark sunspots; we've got a pretty good handle on those. We're talking little white spots, which can look a bit like confetti or white freckles. "It is a little- known fact that sun damage causes not only brown spots, but also white spots," says Dr. Anna Guanche, board-certified dermatologist and celebrity beauty expert at Bella Skin Institute. "I liken them to 'gray hairs' in the skin." More than likely, these are a result of a harmless condition called Idiopathic Guttate Hypomelanosis (IGH). "IGH is a skin condition characterized by multiple round [or] oval white spots that are usually flat. It is very commonly found on the arms and legs of patients over 50," says Dr. Marla Diakow of Schweiger Dermatology Group in Garden City, NY. "[It's] a completely benign entity, but often one of cosmetic concern to patients." These white spots occur due to localized loss of pigmentation of the skin. Read on to get the full scoop on this condition and how it can be treated. How to Treat IGH If you begin to notice unexplained white spots, you should visit your dermatologist ASAP to rule out other conditions that have similar characteristics. If it turns out to be IGH, your derm will definitely advise you get better about sun protection. "The use of broad-spectrum sunscreens and photo- protective clothing are recommended for prevention [of IGH]," Diakow says.

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Page 1: Unexplained White Spots on Your Skin Could Be Caused by …...Pityriasis alba: Scaly patches of light pink or red skin, most common in children and young adults, and associated with

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UnexplainedWhiteSpotsonYourSkinCouldBeCausedbyAging

ByGERRIESUMMERS.June12,2019

Manyofustakegreatpainstomakesureourskinisclearandpristine.(AtByrdieHQ,we'vegottherobustskincareregimenstoproveit.)So,anytimesomethingoutoftheordinarypopsupthatwedon'tautomaticallyknowhowtodealwith,thingscanreachpanicmodeprettyquickly.

Forexample,agespots.Andwe'renotjusttalkingaboutdarksunspots;we'vegotaprettygoodhandleonthose.We'retalkinglittlewhitespots,whichcanlookabitlikeconfettiorwhitefreckles."Itisalittle-knownfactthatsundamagecausesnotonlybrownspots,butalsowhitespots,"saysDr.AnnaGuanche,board-certifieddermatologistandcelebritybeautyexpertatBellaSkinInstitute."Ilikenthemto'grayhairs'intheskin."

Morethanlikely,thesearearesultofaharmlessconditioncalledIdiopathicGuttateHypomelanosis(IGH)."IGHisaskinconditioncharacterizedbymultipleround[or]ovalwhitespotsthatareusuallyflat.Itisverycommonlyfoundonthearmsandlegsofpatientsover50,"saysDr.MarlaDiakowofSchweigerDermatologyGroupinGardenCity,NY."[It's]acompletelybenignentity,butoftenoneofcosmeticconcerntopatients."

Thesewhitespotsoccurduetolocalizedlossofpigmentationoftheskin.Readontogetthefullscooponthisconditionandhowitcanbetreated.

HowtoTreatIGH

Ifyoubegintonoticeunexplainedwhitespots,youshouldvisityourdermatologistASAPtoruleoutotherconditionsthathavesimilarcharacteristics.IfitturnsouttobeIGH,yourdermwilldefinitelyadviseyougetbetteraboutsunprotection."Theuseofbroad-spectrumsunscreensandphoto-protectiveclothingarerecommendedforprevention[ofIGH],"Diakowsays.

Page 2: Unexplained White Spots on Your Skin Could Be Caused by …...Pityriasis alba: Scaly patches of light pink or red skin, most common in children and young adults, and associated with

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Thekeywordisprevention."Oncespotshaveformed,therearenouniversallyeffectivetreatments,"Diakowsays."However,severalmodalitieshavebeenreportedwithlimitedsuccess,includingcryotherapy,intralesionalsteroidinjections,topicalretinoids,chemicalpeels,andlasers."

Guanchesays,"Forfairerskintypeswithsundamageandfreckling[or]brownspots,photofacialsorlasertreatmentstoremovethesurroundingexcesspigmentationcanmakethewhitespotslooklessnoticeable,duetolesscontrast."

Manyofthesetreatmentsusetherapeuticwoundingofthelesionstostimulatemelanocytesandtherebyaddpigmentbacktothespots.However,someofthesetherapies,suchaschemicalspeels,cancausepost-inflammatoryhyperpigmentation,soit'scrucialthatyouconsultyourdermatologistfirsttodeterminewhatsolutionwillworkbestforyou.

Thesamegoesforanyhomeremedies,includingtopicalapplicationoffreshginger,cabbagejuice,orlimejuice,andeatingantioxidant-richfigsandwalnuts."Therearenolarge-scalescientificstudiesshowingthatanyoftheseingredientsareeffectivetreatments.Inparticular,patientsshouldavoidputtingmanyofthese,especiallylimejuice,onanysun-exposedareasoftheskintopreventworseningofpigmentationandirritationoftheskin."

It'slikelythatnoextrememeasuresneedtobetakentotreatIGHsincethespotsarebenign.ButDiakowadvises,"Ifthelesionshaveanyassociatedsymptomssuchasitchingorpain,iftheyseemtobegrowingorspreading,oriftheyareraisedandflaky,theyshouldbeevaluatedbyadermatologist,"Diakowsays."Lightareasofskinontheface,back,orabdomen,andinayoungerpatientwouldbelesslikelytobeIGH."

IfIt'sNotIGH,ThenWhatCouldItBe?

Page 3: Unexplained White Spots on Your Skin Could Be Caused by …...Pityriasis alba: Scaly patches of light pink or red skin, most common in children and young adults, and associated with

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"Otherpossiblecausesofwhitespotsontheskinincludefungalinfection,autoimmuneconditions,andpost-inflammatoryhypopigmentation,"Diakowsays.ThoughunrelatedtoIGH,somecommonissuesthatarealsoassociatedwithwhitespotsincludethefollowing:

Vitiligo:Lossofcolorinpatchesofskin

Pityriasisalba:Scalypatchesoflightpinkorredskin,mostcommoninchildrenandyoungadults,andassociatedwitheczema

Tineaversicolor:Afungalinfectionthatresultsinpatchesoflighterordarkerskin

Guanchesays,"Ifwhitemaculesorspotsaredevelopinginnon-sun-exposedareas,itwouldbeimportanttobeseenandgetadefinitivediagnosis."

Thebottomline:Whiteagespotsonyourskinareprobablynotanymoreconcerningthanyourtypicalsunspots,butgettoadermatologisttomakeabsolutelysure.Anddon'tforgettoslatheronsomesunscreenbeforeyouheadout.

https://www.byrdie.com/white-age-spots-2442903


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