II. Associated Conditions

III. Epidemiology

  1. Found in children and young adults

IV. Symptoms

  1. Mild Pruritus may occur
  2. Triggers
    1. Significant unprotected Sun Exposure

V. Signs

  1. Characteristics
    1. Hypopigmented irregular patches (faint erythema may be present)
    2. Indistinct margins
    3. Fine scale
    4. More noticeable in Fitzpatrick Skin Types 3-6 (darker skin)
  2. Distribution
    1. Face, head and neck
    2. Forearm

VI. Management

  1. Self limited and does not require treatment
  2. Sunscreen should be used
  3. Calcineurin Inhibitors
    1. Topical Tacrolimus 0.1% ointment twice daily for 12 weeks
    2. Rigopoulos (2006) J Dermatol 155(1): 152-5 [PubMed]
  4. Other symptomatic management
    1. Topical Corticosteroids (e.g. Hydrocortisone 0.5 to 2.5%)

VII. Prevention

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