Hyperpigmentation after eczema: what to know

Inflamed eczema skin releases signals that can increase pigment activity. Scratching, rubbing, and crusting add further injury, leaving brown, grey, or darker patches after the redness and itch improve. The mark is not the same as an active flare: active eczema is more likely to be itchy, dry, scaly, cracked, or inflamed.

Use the eczema plan prescribed for you, moisturise regularly with a bland product, and keep nails short to limit scratching damage. Avoid fragranced scrubs and unprescribed bleaching products. Once the skin is calm, a dermatologist can discuss Skin Brightening Treatment, Chemical Peel, IPL Photofacial, Picosecond Laser Treatment, or Hydroquinone Treatment; treating pigment while eczema is active may cause more irritation.

See a clinician if eczema keeps flaring, the mark changes quickly, or the area becomes painful, warm, swollen, wet, crusted, or infected-looking. Seek prompt help for fever or rapidly spreading redness. A patch that is thick, very itchy, or unlike your usual eczema may need a fresh diagnosis.

Ask whether the eczema is fully quiet, how to adjust your moisturising routine, and when pigment treatment is appropriate. Discuss which ingredients suit your skin tone and how to stop scratching during sleep or exercise.