Generally, postinflammatory hypopigmentation is asymptomatic unless there is still an existing inflammatory disorder elsewhere. Patients with darker skin are more prone to develop this condition. The inflammatory reaction that precedes this may be intense and obvious, or it may be subtle and even barely noticed by the patient. The problem is a common sequela of eczema (Fig. 63-1). Mild atopic dermatitis can result in pityriasis alba, hypopigmented patches on the face most commonly seen in African-American children. Hypopigmentation frequently follows cutaneous lupus erythematosus, both in chronic and subacute forms, and lichen planus.