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Melasma (Chloasma)

Figure 3.46 A: Vitiligo (Courtesy of Dr. Paul Getz) B: Melasma (Courtesy of Dr. Paul Getz) C: Erythema ab igne (Courtesy of Dr. Sophie M. Worobec)
Figure 3.46
A: Vitiligo
(Courtesy of Dr. Paul Getz)
B: Melasma
(Courtesy of Dr. Paul Getz)
C: Erythema ab igne
(Courtesy of Dr. Sophie M.
Worobec)
(Figure 3.46B)
  • Acquired hyperpigmentation in sun-exposed areas primarily seen in women (90%) and darker skin types
  • ↑ Incidence with pregnancy, OCP use, sun-exposure
  • Presents with tan to dark brown to brown gray irregular patches primarily on face (malar, mandibular and centrofacial patterns); worsens during summer time
  • Treatment: sun protection, hydroquinone, tretinoin, combination of tretinoin/topical corticosteroid/hydroquinone (Triluma ®), chemical peel
 

 

 

 

 

 

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