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Persistent facial hyperpigmentation

The Journal of Family Practice. 2019 January;68(1):49-50
January 28, 2019|Family Medicine
Kandice C. Bailey, MS-2;Louis “Skip” Wise, MD;Tracy Breeden, RN;Robert T. Brodell, MD
Author and Disclosure Information

University of Mississippi Medical School (Ms. Bailey), University of Mississippi Medical Center (Ms. Breeden), Departments of Dermatology and Pathology, University of Mississippi Medical Center (Dr. Brodell), Jackson, Miss; private practice, Fondren, Miss (Dr. Wise)
rbrodell@umc.edu

DEPARTMENT EDITOR
Richard P. Usatine, MD
University of Texas Health at San Antonio

Dr. Brodell discloses that he is a principal investigator for multicenter clinical trials for Galderma Laboratories, L.P., Novartis, and GlaxoSmithKline. He also serves on an advisory board for IntraDerm Pharmaceuticals. Ms. Bailey, Ms. Breeden, and Dr. Wise reported no potential conflict of interest relevant to this article.

The patient presented with persistent hyperpigmentation that was unaffected by regular face washing. A simple test both diagnosed and treated the condition.

Our patient. A “wipe test” was performed on the patient. This removed the brown flaky scaling and revealed the underlying normal skin. We instructed the patient to wash daily with a soapy wash cloth and scrub with 70% isopropyl alcohol should the hyperpigmentation recur. The patient did not return.

CORRESPONDENCE
Robert T. Brodell, MD, Department of Dermatology, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216; rbrodell@umc.edu

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