Progressive macular hypomelanosis: a common disorder rarely diagnosed in clinical practice

Abstract

Introduction. Progressive macular hypomelanosis (PMH) is a cutaneous pigmentary disorder resulting from a deficit of melanin and manifesting with disseminated hypopigmented macules. Pityriasis alba, post-inflammatory hypopigmentation (atopic dermatitis, psoriasis), bacterial and fungal infections, neoplasms, vitiligo, piebaldism, nevus anemicus and idiopathic guttate hypomelanosis are included in the differential diagnosis. No commonly accepted therapeutic recommendations have been published so far; topical antibiotics, phototherapy and oral isotretinoin have been described in the literature. Objective. To present our own cases of PMH – a dermatosis which is somewhat common in the general population but is still diagnosed infrequently in clinical practice. Progressive macular hypomelanosis: częste schorzenie rzadko rozpoznawane w praktyce klinicznej Progressive macular hypomelanosis: a common disorder rarely diagnosed in clinical practice Marta Pelc, radomir reszke, Jacek Szepietowski Katedra i Klinika Dermatologii, Wenerologii i Alergologii Uniwersytetu Medycznego we Wrocławiu Przegl Dermatol 2016, 103, 362–366 DOI: 10.5114/dr.2016.62886 SłowA kluczowe: dyschromia, progressive macular hypomelanosis, Propionibacterium acnes. key wordS: dyschromia, progressive macular hypomelanosis, Propionibacterium acnes. AdreS do koreSPondencJi: prof. dr hab. n. med. Jacek Szepietowski Katedra i Klinika Dermatologii, Wenerologii i Alergologii Uniwersytet Medyczny ul. Chalubinskiego 1 50-368 Wrocław tel.: +48 601 534 853 e-mail: jacek.szepietowski@ umed.wroc.pl