Hyper-Pigmentation Of The Skin A Simple Guide To The Condition, Treatment, And Related Conditions
By Kenneth Kee
5/5
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About this ebook
This book describes the Hyper Pigmentation of the Skin Diseases such as Melasma, Post Inflammatory Hyper-pigmentation and Lentigines
Hyper-pigmentation is the darkening of an area of skin caused by increased melanin.
Melanin is the pigment found in skin, eyes and hair
Ode to Hyper-pigmentation
Hyper-pigmentation is the darkening of an area of skin
This is caused by an increase of skin melanin.
The most common types of hyper-pigmentation of the skin
Are post-inflammatory hyper-pigmentation, melasma and lentigines
PIH is caused by increased pigment after infection or injury
Melasma is often due to oral contraceptives, sun exposure or pregnancy
Lentigines are light brown skin due to chronic sun exposure
These are the main pigmented conditions in women who are mature
Topical treatment consists of a triple combination cream medication
The use of Quality lasers has improved the treatment of hyper-pigmentation
An alternative treatment of laser is intense pulse light therapy
The combined use of a topical cream and laser treatment is the most effective
-An original poem by Kenneth Kee
Treatment of the Hyper-pigmentation
A Healthy Lifestyle
1.Take a well Balanced Diet
2.Treatment of Hyper-pigmentation
Topical treatment
Melasma and lentigines presents a treatment challenge.
Topical treatment of a triple combination cream containing hydroquinone, retinoid and a mild steroid has been proven to be effective compared to other agents such as hydroquinone alone or kojic acid cream, dual combination creams or peels such as glycolic acid, salicylic acid and Jessner
Lasers
The use of lasers is an increasing trend in the treatment of pigmentation.
The most widely used pigment specific lasers are Quality or Q-switched lasers which have nanosecond pulse duration and can selectively target melanosomes which are pigment granules that provide tissues with the color of the skin.
Sunscreen applications before and after laser treatment is strongly recommended.
Patients with darker skin who require treatment with lasers that have longer wavelengths as there is less absorption by epidermal melanin at a longer wavelength resulting in lower risk of epidermal injury and pigment alterations
Intense pulsed light
An alternative treatment of laser is intense pulse light or IPL which uses a broad spectrum of wavelengths that can be changed for each patient to target specific structures in the skin.
The light energy absorbed by the melanin in the keratinocytes and melanocytes causes them to coagulate and form mini-crusts which later shed resulting in clinical improvement of pigmentations.
The combined use of a topical triple combination cream and laser treatment in conjunction with sun protection appears to be more effective than a mono therapy approach.
3.Keep bones and body strong
Bone marrow produces our blood
Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.
Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.
Eat food rich in Vitamins B and C such as green vegetables and fruits
Zinc and other minerals are important to the body
4.Get enough rest and Sleep
Avoid stress and tension
5.Exercise and stay active.
It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 21⁄2 hours a week.
One way to do this is to be active 30 minutes a day at least 5 days a week.
Begin slowly especially if a person has not been active.
6.Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.
Alcohol use also increases the chance of falling and breaking a bone.
Alcohol can affect the neurons and brain cells.
7.Stop or do not begin smoking.
It also interferes with blood supply and healing
TABLE OF CONTENT
Introduction
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Hyper-Pigmentation Of The Skin A Simple Guide To The Condition, Treatment, And Related Conditions - Kenneth Kee
Hyper-Pigmentation
Of
The Skin
A
Simple
Guide
To
The Condition,
Treatment,
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2014 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes the Hyper Pigmentation of the Skin Diseases such as Melasma, Post Inflammatory Hyper-pigmentation and Lentigines which are seen in some of my patients in my Family Clinic.
(What You Need to Treat Hyper Pigmentation)
This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
Ode to Hyper-pigmentation
Hyper-pigmentation is the darkening of an area of skin
This is caused by an increase of skin melanin.
The most common types of hyper-pigmentation of the skin
Are post-inflammatory hyper-pigmentation, melasma and lentigines
PIH is caused by increased pigment after infection or injury
Melasma is often due to oral contraceptives, sun exposure or pregnancy
Lentigines are light brown skin due to chronic sun exposure
These are the main pigmented conditions in women who are mature
Topical treatment consists of a triple combination cream medication
The use of Quality lasers has improved the treatment of hyper-pigmentation
An alternative treatment of laser is intense pulse light therapy
The combined use of a topical cream and laser treatment is the most effective
-An original poem by Kenneth Kee
Interesting Tips about the Hyper-pigmentation
A Healthy Lifestyle
1. Take a well Balanced Diet
2. Treatment of Hyper-pigmentation
Topical treatment
Melasma and lentigines presents a treatment challenge.
Topical treatment of a triple combination cream containing hydroquinone, retinoid and a mild steroid has been proven to be effective compared to other agents such as hydroquinone alone or kojic acid cream, dual combination creams or peels such as glycolic acid, salicylic acid and Jessner
Lasers
The use of lasers is an increasing trend in the treatment of pigmentation.
The most widely used pigment specific lasers are Quality or Q-switched lasers which have nanosecond pulse duration and can selectively target melanosomes which are pigment granules that provide tissues with the color of the skin.
Sunscreen applications before and after laser treatment is strongly recommended.
Patients with darker skin who require treatment with lasers that have longer wavelengths as there is less absorption by epidermal melanin at a longer wavelength resulting in lower risk of epidermal injury and pigment alterations
Intense pulsed light
An alternative treatment of laser is intense pulse light or IPL which uses a broad spectrum of wavelengths that can be changed for each patient to target specific structures in the skin.
The light energy absorbed by the melanin in the keratinocytes and melanocytes causes them to coagulate and form mini-crusts which later shed resulting in clinical improvement of pigmentations.
The combined use of a topical triple combination cream and laser treatment in conjunction with sun protection