Alternative Names
Hypomelanosis of Ito (more commonly used)
Definition of Incontinentia pigmenti achromians
Incontinentia pigmenti achromians is a rare birth defect that causes unusual patches of light-colored (hypopigmented) skin and possible neurological and skeletal problems.
Causes, incidence, and risk factors
The cause is unknown. It is slightly more common in girls than in boys.
Signs and tests
A Wood’s lamp examination of the may help confirm the diagnosis. Your doctor may also recommend chromosome analysis or a further medical workup to discover any related medical problems.
Treatment
There is no treatment for the hypopigmentation. Treatment consists of treating the symptoms. Cosmetics or clothing may be used to cover the hypopigmented spots if desired. Seizures, scoliosis, and other problems are treated as necessary.
Expectations (prognosis)
What happens depends on the type and severity of symptoms that develop. In most cases, the skin pigment eventually returns to normal.
Review
Kevin Berman, MD, PhD, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network; Linda Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. – 8/26/2009
