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Spontaneous return of normal skin color may occur in some cases. Patience is the most effective measure for loss of skin color.
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Exposure to sun or ultraviolet (UV) light, especially after sensitization with an oral medication (psoralens), may increase pigmentation. This may have side effects and may increase the risk for skin cancer.
Lotions that bleach or lighten the skin, such as hydroquinone, may be used to reduce hyperpigmented skin or to even the skin tone where hypopigmented areas are large or conspicuous.
Selsun blue or Tolnaftate (Tinactin) lotion can help in treating tinea versicolor. Apply as directed to the affected area daily until the lesions disappear. Unfortunately, tinea versicolor often returns no matter what type of treatment is used.
Cosmetics or skin dyes may be used to disguise pigmentary changes. Make-up can help hide mottled skin but will not cure the underlying problem.
Avoid excessive sun exposure and use sun block because hypopigmented skin sunburns easily and hyperpigmented skin may get even darker.
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