Cases reported "Pigmentation Disorders"

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1/3. The prevention and management of postdermabrasion complications.

    The complications of keloids, pigment changes, loss of skin texture, and enlarged facial pores remain a problem with dermabrasion patients. Their occurrence can be reduced by proper patient selection, proper dermabrasion technique, proper wound management, and prompt treatment. Keloids are rapidly resolved with the use of flurandrenolide tape covered with positive-pressure chin-strap dressings. Streaks of hyperpigmentation are lightened with a combination of sunscreen, opaque makeup, tretinoin, and hydroquinone lotions. The loss of skin texture can be prevented by not abrading too deeply and avoiding subsequent bacterial contamination during wound healing. However, enlarged skin pores in the central portion of the face and hypopigmentation can be permanent complications.
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2/3. Probable coexisting exogenous ochronosis and mercurial pigmentation managed by dermabrasion.

    A patient with blue-gray discoloration of the face is described. Her history revealed that she had used bleaching creams containing mercury and hydroquinone for many years. biopsy specimens of the hyperpigmented areas showed deposits that were compatible with both mercury deposition and the diagnosis of exogenous ochronosis. dermabrasion was successfully employed to remove these deposits.
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3/3. Postdermabrasion leukoderma.

    Three patients developed leukoderma following dermabrasion during an attempt to correct the scarring sustained after a thermal burn injury several years previously. Two of the patients were successfully repigmented with autologous minigrafting and epidermal suction grafts.
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keywords = dermabrasion
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