{"id":7511,"date":"2020-04-24T19:11:19","date_gmt":"2020-04-24T22:11:19","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/crema-blanqueadora\/"},"modified":"2020-04-27T16:11:33","modified_gmt":"2020-04-27T19:11:33","slug":"whitening-cream","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/crema-blanqueadora\/","title":{"rendered":"Whitening cream"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/crema-blanqueadora\/#Introduccion\" >Introduction<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/crema-blanqueadora\/#%C2%BFQue-contienen-las-cremas-blanqueadoras\" >What do whitening creams contain?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/crema-blanqueadora\/#Hidroquinona\" >Hydroquinone<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/crema-blanqueadora\/#Retinoides-topicos\" >Topical retinoids<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/crema-blanqueadora\/#Crema-de-cisteamina\" >Cysteamine cream<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/crema-blanqueadora\/#Botanicos\" >botanicals<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/crema-blanqueadora\/#Otros-agentes\" >other agents<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/crema-blanqueadora\/#Corticosteroides-topicos\" >Topical corticosteroids<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/crema-blanqueadora\/#Cremas-esteroides-utilizadas-para-blanquear-el-color-de-la-piel\" >Steroid creams used to whiten skin color.<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/crema-blanqueadora\/#Efectos-secundarios-de-los-esteroides-despues-de-usar-crema-blanqueadora\" >Steroid Side Effects After Using Whitening Cream<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/crema-blanqueadora\/#Mercurio\" >Mercury<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Introduccion\"><\/span>Introduction<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Skin whitening or lightening creams or ointments are widely used throughout the world to try to remove <span class=\"term\" data-term-id=\"324\">located<\/span> dark spots (eg, melasma or <span class=\"term\" data-term-id=\"1621\">post-inflammatory<\/span> <span class=\"term\" data-term-id=\"135\">hyperpigmentation<\/span>) or as a fashion trend with the aim of reducing normal <span class=\"term\" data-term-id=\"180\">melanin<\/span> on the skin<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-contienen-las-cremas-blanqueadoras\"><\/span>What do whitening creams contain?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>a whitening <span class=\"term\" data-term-id=\"1121\">cream<\/span> It can contain a variety of ingredients. Some of these are more effective than others. In many areas, unregulated products are sold, often without their contents listed or mislabeled. They may be safe but completely ineffective, or the chemicals may cause side effects and <span class=\"term\" data-term-id=\"1160\">toxicity<\/span>. The risks depend on which ingredient is applied to the skin, in what concentration, on what area, and for how long it is used.<\/p>\n<p>Skin lightening agents may include:<\/p>\n<ul>\n<li>Hydroquinone<\/li>\n<li>Cysteamine<\/li>\n<li><span class=\"term\" data-term-id=\"1330\">Current<\/span> <span class=\"term\" data-term-id=\"762\">retinoids<\/span><\/li>\n<li>botanicals<\/li>\n<li>other agents <\/li>\n<li>Topical corticosteroids <\/li>\n<li>\n<p>Mercury.<\/li>\n<\/ul>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Hidroquinona\"><\/span>\n<p>Hydroquinone<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>  Hydroquinone is an effective skin lightening agent. It is no longer available in some parts of the world due to the damaging effects of long-term use. The recommended concentration <span class=\"term\" data-term-id=\"1201\">on the counter<\/span> is from the 2%, but up to a 4% is available from a <span class=\"term\" data-term-id=\"54\">dermatologist<\/span> in some countries. It should be used daily for no more than 6 months.<\/p>\n<p>Its initial inhibition effect <span class=\"term\" data-term-id=\"1521\">pigmentation<\/span> is lost with prolonged application and solar stimulation.<\/p>\n<p><span class=\"term\" data-term-id=\"1095\">exogenous<\/span> Ochronosis is the main risk of continuous use of hydroquinone. This results in an irregular blue-black spot that affects the sun.<span class=\"term\" data-term-id=\"311\">exposed skin<\/span> and <span class=\"term\" data-term-id=\"193\">nail<\/span>. It is due to deep <span class=\"term\" data-term-id=\"370\">statement<\/span> Of the same <span class=\"term\" data-term-id=\"231\">pigment<\/span> What happens in alkaptonuria?<span class=\"term\" data-term-id=\"1096\">endogenous<\/span> ochronosis). Exogenous ochronosis can also occur from phenol, quinine, or resorcinol.<\/p>\n<p>Ochronosis can also lead to loss of skin elasticity and wound healing.<\/p>\n<p>In some subjects, the excessive use of hydroquinone in combination with certain foods in the diet (fish, eggs, offal, beans) can cause an unpleasant fishy odor in body secretions, such as sweat and urine (trimethylaminuria).<\/p>\n<p>Hydroquinone is sometimes called by another name, such as:<\/p>\n<ul>\n<li>1,4-benzenediol<\/li>\n<li>Quinol<\/li>\n<li>benzene-1<\/li>\n<li>4-diol<\/li>\n<li>p-diphenol<\/li>\n<li>p-dihydroxyl benzene<\/li>\n<li>Hydroquinone<\/li>\n<li>p-hydroxyphenol<\/li>\n<li>hydroquinonium<\/li>\n<li>hydroquinol<\/li>\n<li>Tequinol<\/li>\n<\/ul>\n<p>Hydroquinone monobenzyl ether is a strong derivative of hydroquinone that almost always causes an almost irreversible effect <span class=\"term\" data-term-id=\"742\">depigmentation<\/span> of the skin (white patches).<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Retinoides-topicos\"><\/span>\n<p>Topical retinoids<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Tretinoin is the main topical. <span class=\"term\" data-term-id=\"761\">retinoid<\/span> It has been used in skin lightening products. Dilutes the skin, increasing the penetration of other agents. in addition to having a direct effect in reducing melanization. It is a prescription medication due to the potential risk in pregnancy. It can be quite irritating and can cause contact. <span class=\"term\" data-term-id=\"1168\">irritating<\/span> <span class=\"term\" data-term-id=\"53\">dermatitis<\/span>.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Crema-de-cisteamina\"><\/span>\n<p>Cysteamine cream<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Cysteamine cream is applied for 15 minutes each day for up to 12 weeks, then twice weekly for maintenance. May cause temporary burning and redness, and may also cause dryness and irritation, relieved by application of a <span class=\"term\" data-term-id=\"1887\">emollient<\/span>. <\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Botanicos\"><\/span>\n<p>botanicals<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>New skin-lightening active compounds isolated from plants are being added to modern cosmetics. They look like <span class=\"term\" data-term-id=\"1022\">inhibit<\/span> the production of melanin without being <span class=\"term\" data-term-id=\"1159\">toxic<\/span> to the <span class=\"term\" data-term-id=\"784\">melanocyte<\/span> (<span class=\"term\" data-term-id=\"1884\">tyrosinase<\/span> inhibitors) It is not yet known which preparations are the most effective. Active ingredients include:<\/p>\n<ul>\n<li>Arbutin al 1% (a glycosylated hydroquinone)<\/li>\n<li>Paper mulberry 1%<\/li>\n<li>Glabridin 0.5% (Licorice extract)<\/li>\n<li>Arctostaphylos patula and Arctostaphylos viscida<\/li>\n<li>Aloesin<\/li>\n<li>gentisic acid<\/li>\n<li>Flavonoids<\/li>\n<li>Hesperidin<\/li>\n<li>Ascorbic acid or its derivative, magnesium ascorbyl phosphate 10%<\/li>\n<li>Niacinamide<\/li>\n<li>Yeast derivatives<\/li>\n<li>polyphenols<\/li>\n<li>Soy proteins.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Otros-agentes\"><\/span>\n<p>other agents<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Other agents in use for their skin lightening effect include:<\/p>\n<ul>\n<li>\n<p>Azelaic acid 20%, produced by the yeast Malassezia\n<\/li>\n<li>Kojic acid 1-4% (5-hydroxy-4-pyran-4-one-2-methyl), produced by a fungus (may cause contact irritation or allergic contact dermatitis)<\/li>\n<li>Mequinol 5-20% (4-hydroxyanisole)<\/li>\n<li>isopropylcatechol<\/li>\n<li>N-acetyl-4-cysteaminylphenol<\/li>\n<li>N-acetyl glucosamine<\/li>\n<li>Piceatannol<\/li>\n<\/ul>\n<p>Unregulated skin lightening creams may include many other ingredients. These can be relatively safe (for example, lemon juice), toxic (camphor), irritating (detergents), or can cause <span class=\"term\" data-term-id=\"1136\">allergy<\/span> (<span class=\"term\" data-term-id=\"122\">hair<\/span> Colorant). Complications can include:<\/p>\n<ul>\n<li>  Irritant contact dermatitis <\/li>\n<li>\n<p> Allergic contact dermatitis.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Corticosteroides-topicos\"><\/span>\n<p>Topical corticosteroids<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Cremas-esteroides-utilizadas-para-blanquear-el-color-de-la-piel\"><\/span>Steroid creams used to whiten skin color.<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='dermovate__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingilde5ov0-8046151-2903884' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/dermovate__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDE5OV0-8046151.jpg'>\n<\/div>\n<p class=\"p-small\">Dermovate Cream<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='spot-remover__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildc4xq-6947996-7691414' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/spot-remover__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDc4XQ-6947996.jpg'>\n<\/div>\n<p class=\"p-small\">Dermovate Cream<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<p>Topical corticosteroids lighten the skin by the following mechanisms.<\/p>\n<ul>\n<li>Initial <span class=\"term\" data-term-id=\"1173\">pallor<\/span> due to vasoconstriction<\/li>\n<li>Slow down the rate of skin cell turnover, which reduces the number and activity of <span class=\"term\" data-term-id=\"181\">melanocytes<\/span> (pigment cells)<\/li>\n<li>Reduction of the production of precursor steroid hormones, thus reducing the production of <span class=\"term\" data-term-id=\"1255\">melanocyte-stimulating hormone<\/span> (<span class=\"term\" data-term-id=\"1257\">MSH<\/span>)<\/li>\n<\/ul>\n<p>In New Zealand and many other countries, the stronger topical corticosteroids are regulated and can only be obtained by prescription. Products containing betamethasone valerate, fluocinonide, and clobetasol propionate can be purchased without a prescription at a pharmacy or from drug sellers in a market in other countries.<\/p>\n<p>Strong topical steroids have a wide range of local side effects including thinning of the skin and <span class=\"term\" data-term-id=\"1395\">atypical<\/span> Fungal infections (tinea incognita). When used over large areas for prolonged periods, they may be at risk of serious internal disease from hypopituitarism. steroid addiction <span class=\"term\" data-term-id=\"350\">syndrome<\/span> results in folliculitis and steroid rosacea.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Efectos-secundarios-de-los-esteroides-despues-de-usar-crema-blanqueadora\"><\/span>Steroid Side Effects After Using Whitening Cream<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='dv-striae__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-5376779-5735958' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/dv-striae__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-5376779.jpg'>\n<\/div>\n<p class=\"p-small\">Stretch marks<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='steroid-folliculitis__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2821846-5180731' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/steroid-folliculitis__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2821846.jpg'>\n<\/div>\n<p class=\"p-small\">Folliculitis<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Mercurio\"><\/span>\n<p>Mercury<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Mercury was used as mercurous chloride, oxide, and ammoniated mercury in many cosmetics and toiletries in the early 20th century before it was realized that it caused toxicity. It is still found in some skin lightening creams because the mercury inactivates the <span class=\"term\" data-term-id=\"1525\">enzyme<\/span> that leads to the production of melanin. These products should not be used and are illegal in many countries, including the US and New Zealand.<\/p>\n<p>Long-term application of mercurial products to the skin darkens the skin and nails because mercury is deposited in the <span class=\"term\" data-term-id=\"85\">epidermis<\/span>, hair <span class=\"term\" data-term-id=\"1301\">follicles<\/span> and <span class=\"term\" data-term-id=\"61\">dermis<\/span>.<\/p>\n<p>Mercury poisoning causes <span class=\"term\" data-term-id=\"349\">acute<\/span> and <span class=\"term\" data-term-id=\"319\">chronic<\/span> toxicity, including acrodynia, as well as <span class=\"term\" data-term-id=\"402\">neurological <\/span>and kidney damage.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Introducci\u00f3n Las cremas o ung\u00fcentos para blanquear o aclarar la piel se usan ampliamente en todo el mundo para tratar de eliminar localizado manchas oscuras (p. ej., melasma o postinflamatorio&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-7511","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7511","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=7511"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7511\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=7511"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=7511"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=7511"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}