Pityriasis Alba: Causes, Symptoms & Treatments
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Pityriasis Alba

What Is Pityriasis Alba?

Pityriasis alba is a skin disorder that mostly affects children and young adults. The exact cause of pityriasis alba is unknown. However, it’s believed that the condition may be associated with eczema, a common skin disorder that causes scaly, itchy rashes.

People with pityriasis alba develop red or pink patches on their skin that are usually round or oval in shape. The patches will usually clear up with moisturizing creams or go away on their own. However, they often leave pale marks on the skin after the redness has faded.

What Are the Symptoms of Pityriasis Alba?

Symptoms

People with pityriasis alba get round, oval, or irregular patches of pale pink or red skin. The patches are usually scaly and dry. They may appear on your:

  • face, which is the most common place
  • upper arms
  • neck
  • chest
  • back

Pale pink or red spots may fade into light colored patches after several weeks. These patches usually clear up within a few months, but they can last for several years in some cases. They’re more noticeable in the summer months when the surrounding skin becomes tan. The patches won’t become tan after sun exposure. However, wearing sunscreen may make patches less noticeable in the summer months. The light patches are also more noticeable in people with darker skin.

What Causes Pityriasis Alba?

Causes

The exact cause of pityriasis alba isn’t known. However, it’s commonly considered a mild form of atopic dermatitis. Atopic dermatitis is a type of eczema.

Eczema may be caused by an overactive immune system that aggressively responds to irritants. Normally, the immune system ignores normal proteins and only attacks the proteins of harmful substances, such as bacteria and viruses. If you have eczema, however, your immune system may not always distinguish between the two, which causes inflammation. It’s similar to having an allergic reaction. The skin’s ability to act as a barrier is reduced in people with eczema.

Most people outgrow eczema and pityriasis alba by early adulthood.

Who Is at Risk for Pityriasis Alba?

Risk Factors

Pityriasis alba is most common in children and adolescents. It occurs in approximately 2 to 5 percent of children. It’s most frequently seen in children between ages 6 and 12. It’s also very common in children with atopic dermatitis, an itchy inflammation of the skin.

Pityriasis alba often appears in children who take hot baths frequently or who are exposed to the sun without sunscreen. However, it’s unclear if these factors cause the skin condition.

Pityriasis alba isn’t contagious.

How Is Pityriasis Alba Treated?

Treatment

No treatment is required for pityriasis alba. The patches will usually go away with time. Your doctor may also prescribe a moisturizing cream or topical steroid cream such as hydrocortisone to treat the condition. In some cases, your doctor may prescribe a non-steroid cream, such as pimecrolimus. Both types of creams can help reduce skin discoloration and relieve any dryness, scaling, or itchiness.

Even if you’ve had treatment, the patches can return in the future and you may need to use the creams again. In most cases, however, pityriasis alba goes away by adulthood.

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