Progressive hypopigmentation is mainly manifested as localized hypopigmented spots, which may be related to vitiligo, florid furuncle and white furfura, etc. The patient can be treated by general therapy, medication and other ways.
1. Vitiligo: Vitiligo may cause progressive hypopigmentation, usually should avoid sun exposure. Patients can follow the doctor’s instructions to use topical calmodulin neural phosphatase inhibitors, such as tacrolimus ointment, pimecrolimus cream and other drugs, to play an immunosuppressive role. Or oral prednisone, dexamethasone and other glucocorticoid drugs to improve the white spots.
2. Mottled furuncle: Mottled furuncle may also cause progressive mottled hypopigmentation, daily need to keep the affected area dry, clean, avoid scratching. Patients should follow the doctor’s instructions for external use of econazole, miconazole and other antifungal drugs, anti-inflammatory and antibacterial. Moderate and severe patients can choose oral itraconazole, fluconazole and other drugs, with bactericidal effect.
3. White chaff rash: If the patient is caused by white chaff rash, daily should avoid excessive cleaning, strengthen moisturizing and sunscreen. Patients can use topical medicines such as glycerite lotion and tacrolimus ointment under the guidance of doctors, which have the effect of anti-itching and immunosuppression to improve the symptoms.
For patients with progressive hypopigmentation, sun exposure should be avoided on a daily basis. Patients are advised to seek medical advice, undergo relevant examinations and cooperate with doctors for treatment. All of the above drugs should be used in accordance with medical advice.