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Melasma Pigmentation

Melasma Pigmentation

Melasma Pigmentation: •Melasma has a tan or dark skin discoloration. Although it can affect anyone, melasma is particularly common in women of Asian origin in their twenties onward, • Especially pregnant women. Each pregnancy make worst the intensity of the melasma • Women who are taking oral or patch contraceptives or hormone replacement therapy (HRT) medications.

Melasma Pigmentation: 1• Melasma has a tan or dark skin discoloration. Although it can affect anyone, melasma is particularly common in women of Asian origin in their twenties onward,
2• Especially pregnant women. Each pregnancy make worst the intensity of the melasma
3• Women who are taking oral or patch contraceptives or hormone replacement therapy (HRT) medications.

 

 

 

 

Other names of melasma:

  • Melasma is also called as Chloasma faciei, or just chloasma
  • the mask of pregnancy when present in pregnant women.

Demographic Features:

  • Melasma has a tan or dark skin discoloration. Although it can affect anyone, melasma is particularly common in women of Asian origin in their twenties onward,
  • Especially pregnant women. Each pregnancy make worst the intensity of the melasma
  • Women who are taking oral or patch contraceptives or hormone replacement therapy (HRT) medications.

Melasma Pigmentation:  Melasma has a tan or dark skin discoloration. Although it can affect anyone, melasma is particularly common in women of Asian origin in their twenties onward, Especially pregnant women. Each pregnancy make worst the intensity of the melasma Women who are taking oral or patch contraceptives or hormone replacement therapy (HRT) medications.

Melasma Pigmentation:
1. Melasma has a tan or dark skin discoloration. Although it can affect anyone, melasma is particularly common in women of Asian origin in their twenties onward,
2. Especially pregnant women. Each pregnancy make worst the intensity of the melasma
3. Women who are taking oral or patch contraceptives or hormone replacement therapy (HRT) medications. 4. Darker skinned among type 3 to 4 has higher incidence of melasma.

 

 

 

 

 

Signs and symptoms

  • The symptoms of melasma are varying dark brownish pigmentation, irregular well demarcated hyperpigmented macules to patches
  • At time the margin may be ill defined, diffuse
  • The pigment may be located on the superficial epidermis, or the deeper layer dermis
  • Melasma is commonly found on the upper cheek, nose, lips, upper lip, and forehead.
  • These patches often develop gradually over time.
  • Usually the age melasma starts is form twenties onward
  • Melasma does not cause any other symptoms beyond the cosmetic discoloration. It is purely a cosmetic issue. No other health problem accompanied.
  • Melasma is also common in pre-menopausal women.
  • It is thought to be enhanced by surges in certain hormones, mostly estrogen and progesterone.
  • Melasma fades after menopause

 

 

 

Melasma Pigmentation:  Sex hormone: Melasma is thought to be due to the stimulation of melanocytes (cells in the epidermal layer of skin that produce a pigment called melanin) by the female sex hormones estrogen and progesterone to produce more melanin pigments when the skin is exposed to sun.  Sun exposure: Women with a light brown skin type 3 to 4, who are living in regions with intense sun exposure are particularly susceptible to developing this condition.  Note: Other than the female sex hormone, sun is the most important facor causing melasma.

Melasma Pigmentation:
Sex hormone: Melasma is thought to be due to the stimulation of melanocytes (cells in the epidermal layer of skin that produce a pigment called melanin) by the female sex hormones estrogen and progesterone to produce more melanin pigments when the skin is exposed to sun.
Sun exposure: Women with a light brown skin type 3 to 4, who are living in regions with intense sun exposure are particularly susceptible to developing this condition.
Note: Other than the female sex hormone, sun is the most important factor causing melasma.

Causes

  • Sex hormone: Melasma is thought to be due to the stimulation of melanocytes (cells in the epidermal layer of skin that produce a pigment called melanin) by the female sex hormones estrogen and progesterone to produce more melanin pigments when the skin is exposed to sun.
  • Sun exposure: Women with a light brown skin type 3 to 4, who are living in regions with intense sun exposure are particularly susceptible to developing this condition.

 

  • Genetic predisposition: is also a major factor in determining whether someone will develop melasma.
  • Ethnicity: Asian of Mongoloid with skin type 3 to 4 has the highest incidence

 

  • Thyroid disease: The incidence of melasma also increases in patients with thyroid disease.
  • Stress: It is thought that the overproduction of melanocyte-stimulating hormone (MSH) brought on by stress can cause outbreaks of this condition.
  • Other: rarer causes of melasma include allergic reaction to medications and cosmetics.

 

  • Melasma Suprarenale (Latin – above the kidneys) is a symptom of Addison’s disease, particularly when caused by pressure or minor injury to the skin

Diagnosis of melasma

  • Melasma is usually diagnosed clinically with visual examination with the characteristic of the lesion as mentioned above.
  • or with assistance of a Wood’s lamp (340 – 400 nm wavelength). Under Wood’s lamp, excess melanin in the epidermis can be distinguished from that of the dermis.

 

Differential diagnosis of melasma

Other conditions may mimic melasma-like pigmentation and includes:

  • Post inflammatory hyperpigmentation, PIH also resemble melasma pigmentation
  • Actinic lichen planus
  • Hydroquinone-induced exogenous ochronosis. Hydroquinone is notorious in causing melisma-like pigmentation if such patient goes under the sun after treatment with hydroquinone.

 

Treatment

Melasma pigmentation treatment details.

Pigmentation treatment.

Whitening Treatment available.

Stem cell therapy.

Laser treatment.

Hormone therapy.

Anti aging therapy.

Stress and de-stress.

Fruit acid peel.