Melasma

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD's medical weight loss NYC, sleep center NYC
Philadelphia medical weight loss and Philadelphia sleep clinics

Melasma
Synonyms	Chloasma, mask of pregnancy
Pronounce	N/A
Specialty	N/A
Symptoms	Brown or gray-brown patches on the skin, usually on the face
Complications	None
Onset	Pregnancy, oral contraceptive use, sun exposure
Duration	Can be long-lasting
Types	N/A
Causes	Hormonal changes, sun exposure, genetic predisposition
Risks	Female gender, darker skin types, family history
Diagnosis	Clinical diagnosis, Wood's lamp examination
Differential diagnosis	Post-inflammatory hyperpigmentation, lentigo, freckles
Prevention	Sun protection, avoidance of hormonal triggers
Treatment	Topical depigmenting agents, chemical peels, laser therapy
Medication	N/A
Prognosis	N/A
Frequency	Common, especially in women
Deaths	N/A

Melasma is a common skin condition characterized by the development of dark, irregular patches on the skin. It predominantly affects the face, but it can also occur on other sun-exposed areas, such as the neck and arms. Melasma is more prevalent in women and is often associated with hormonal changes, sun exposure, and genetic predisposition.

Laser Melasma Treatment

Causes

• The exact cause of melasma is not fully understood, but several factors contribute to its development:
• Hormonal Factors: Hormonal changes, such as those occurring during pregnancy (chloasma or "mask of pregnancy"), hormonal contraceptive use, or hormone replacement therapy, can trigger melasma. The condition is more common in women and may be related to estrogen and progesterone levels.
• Sun Exposure: Ultraviolet (UV) radiation from the sun stimulates the production of melanin, the pigment responsible for skin color. Sun exposure can worsen melasma and contribute to its development.
• Genetic Predisposition: There is evidence that genetic factors play a role in melasma, as it often runs in families.

Symptoms

The primary symptom of melasma is the appearance of dark, brownish-gray patches on the skin. These patches are typically symmetrical and irregularly shaped. Common areas of involvement include the cheeks, forehead, upper lip, and chin. Melasma does not cause any physical discomfort, but the appearance of the patches can cause significant emotional distress for affected individuals.

Diagnosis

A dermatologist can usually diagnose melasma based on a visual examination of the skin. In some cases, a Wood's lamp examination may be performed. This involves shining ultraviolet light on the skin to help evaluate the depth and extent of the pigmentation.

Treatment

• While melasma can be challenging to treat, various treatment options are available to help manage the condition:
• Sun Protection: Protecting the skin from UV radiation is crucial in preventing melasma and reducing its severity. This includes wearing broad-spectrum sunscreen with a high sun protection factor (SPF), using protective clothing, and seeking shade when the sun is strongest.
• Topical Medications: Several topical medications may be prescribed to lighten the pigmented areas, such as hydroquinone, tretinoin, corticosteroids, or a combination of these.
• Procedures: In some cases, dermatological procedures like chemical peels, microdermabrasion, or laser therapy may be recommended to improve the appearance of melasma. These procedures aim to remove the superficial layers of the skin and promote skin rejuvenation.
• Camouflage Makeup: The use of specialized cosmetic products, such as color-correcting makeup or concealers, can help mask the appearance of melasma.
• It's important to note that treatment responses can vary, and melasma may recur or worsen with sun exposure or hormonal changes. Consistency in sun protection and ongoing maintenance treatment are often necessary to manage the condition effectively.

Prevention

• Prevention strategies can help reduce the risk of melasma or minimize its severity:
• Sun Protection: Minimize sun exposure, especially during peak hours, and use broad-spectrum sunscreen with a high SPF on exposed skin.
• Protective Clothing: Wear wide-brimmed hats, sunglasses, and clothing that covers the skin when exposed to the sun.
• Hormonal Considerations: If you are prone to melasma, discuss hormonal changes or contraceptive options with your healthcare provider to minimize the risk of triggering or worsening the condition.

Summary

Melasma is a common skin condition characterized by dark patches on the skin, primarily affecting the face. It is more prevalent in women and often associated with hormonal changes and sun exposure. While melasma can be challenging to treat, a combination of sun protection, topical medications, and dermatological procedures can help manage the condition and improve its appearance.

See Also

• Hyperpigmentation
• Sunscreen
• Chemical peel
• Dermabrasion
• Laser therapy

References

<references>

• Grimes, Pearl E. "Melasma: etiologic and therapeutic considerations." Archives of dermatology 131, no. 12 (1995): 1453-1457.
• Handel, Ana C., Claudia L. Miot, and Maria C. M. Miot. "Melasma: a clinical and epidemiological review." Anais brasileiros de dermatologia 88, no. 1 (2013): 11-22.
• Sarkar, Rashmi, Purnima Dey, and Vijay K. Garg. "Newer and upcoming therapies for melasma." Indian Journal of Dermatology 58, no. 4 (2013): 244-254.

</references>

This article is a medical stub. You can help WikiMD by expanding it!
Most recent articles Ongoing trials	Wikipedia