A Clinical Atlas of 101 Common Skin Diseases

Melasma

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Pigmented macules and patches mostly in the middle third of the face, vertically and horizontally, distributed symmetrically and occurring mainly in postpubescent women as a consequence of the combined effects of estrogen and ultraviolet light on melanocytes.

A Clinical Atlas of 101 Common Skin Diseases

Melasma

Pigmented macules and patches mostly in the middle third of the face, vertically and horizontally, distributed symmetrically and occurring mainly in postpubescent women as a consequence of the combined effects of estrogen and ultraviolet light on me…

Therapeutic Strategies in Dermatology

Facial Melanosis, Melasma

Pigmented macules and patches mostly in the middle third of the face, vertically and horizontally, distributed symmetrically and occurring mainly in postpubescent women as a consequence of the combined effects of estrogen and ultraviolet light on me…

Therapeutic Strategies in Dermatology

Facial Melanosis, Melasma: Key Points

Key Points Facial melanosis (also known as melasma) is a very common condition. In the USA, 5 to 6 million individuals are affected. Melasma usually appears in association with oral contraceptive (OCP) use or pregnancy (“chloasma,” or t…

Therapeutic Strategies in Dermatology

Facial Melanosis, Melasma: Treatment

…mbination cream is significantly more effective at lightening melasma than hydroquinone alone or dual-combination creams, including tretinoin and hydroquinone. However, if patients cannot tolerate the triple combination cream due to irritation, sever…

Therapeutic Strategies in Dermatology

Facial Melanosis, Melasma: References

…tnam R, Halpern J, Salim A, Emmett C (2010) Interventions for melasma, Cochrane Database of Systematic Reviews, 7: ArtCD003583. Pandya AG et al (2011) Reliability assessment and validation of the Melasma Area and Severity Index (MASI) and a new modif…

Therapeutic Strategies in Dermatology

Facial Melanosis, Melasma: Clinical Case

…aphic patches of hyperpigmentation The diagnosis of moderate melasma is discussed; recommend referral back to gynecologist to discuss alternative contraceptive options Prescription for triple combination cream is given: hydroquinone 4% / tretinoin…

Resolving Quandaries in Dermatology, Pathology & Dermatopathology

Papular Dermatitis of Pregnancy, Prurigo Gestationis of Besnier, Toxemia Rash, Autoimmune Progesterone Dermatitis of Pregnancy, Prurigo Annularis, and Impetigo Herpetiformis?

…1231-33. “Pregnancy and the skin— Normal skin changes… Melasma… Pruritus gravidarum… Pruritic uricarial papules and plaques of pregnancy… Papular dermatitis… Immune progesterone dermatitis of pregnancy… Herpes gestationis… Prurigo gestationis…

Resolving Quandaries in Dermatology, Pathology & Dermatopathology

Erythema Dyschromicum Perstans?

…2002:37. “Hyperpigmented disorders such as melanosis (melasma), post-inflammatory hyperpigmentation, drug-induced hyperpigmentation, and erythema dyschromicum perstans tend to have a prolonged course and, in many cases, are refractory to trea…