Asymptomatic Hypopigmented Macules and Patches — What They Are and When to See a Doctor

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These lesions are often discovered incidentally—during a skin check, while tanning, or in photos.

Common Causes (Mostly Benign)

1. Pityriasis Alba

Who it affects: Children and teens, especially those with eczema

Appearance: Pale, slightly scaly patches on face, arms, or upper trunk

Cause: Mild eczema + sun exposure (patches don’t tan)

Treatment: Moisturizers; resolves on its own over months

2. Post-Inflammatory Hypopigmentation

After: Eczema, psoriasis, burns, acne, or injury

Appearance: Smooth, pale areas where inflammation once was

Note: More noticeable in darker skin tones

Treatment: Usually fades over time; sun protection helps

3. Tinea Versicolor (Pityriasis Versicolor):

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