Melasma is one of the most common hyperpigmentation disorder that results in dark patches on the sun-exposed areas. Read the article to know more.
Melasma is an acquired hyperpigmentation where there is a formation of dark brown patches and spots on the skin of the face and sun-exposed areas. When it is induced by pregnancy, it is called chloasma. It is more common in women, especially, those in their reproductive years, but about 10 % of the cases occur in men as well.
It is seen as irregular macular (flat, not raised) lesions of brown, blue-grey or brown-grey color that may occur in three patterns:
1. Centrofacial: involving the forehead, cheeks, upper lip, nose, and chin.
2. Malar pattern: involving the cheeks, and nose.
3. Mandibular pattern: involving the jaw.
Melasma usually runs a chronic course exacerbated by sunlight and artificial UVA and UVB light. Women have reported varying degrees of melasma during several pregnancies. Usually, melasma slowly resolves following childbirth or upon discontinuation of oral contraceptives.
Based on Wood’s lamp examination of skin, melasma can be divided into:
For more information consult a melasma specialist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist/melasma
Melasma, otherwise called chloasma or mask of pregnancy, is a condition that results in dark black or brown patches on the skin.
If the cause is hormonal imbalance during pregnancy or while taking birth control pills, it will fade on its own after delivery or after you stop taking the pills. Other treatment options include using topical Hydroquinone, Tretinoin, Corticosteroid, Kojic acid gel or cream. You can also try procedures like microdermabrasion, chemical peel, light therapy, and laser.
The best way to prevent the spread of melasma is to avoid any triggers. Some of the common triggers include sun exposure, hormonal imbalance during pregnancy and people taking birth control or hormonal pills, and using skincare products that irritate the skin.
The best way to treat melasma is by treating the cause. Whenever you go out in the sun, wear protective clothing and apply sunscreen, avoid using harsh skincare products, and get the hormonal problem treated.
Unfortunately, there is no permanent cure for melasma as of now. All treatment options like cream and therapies only help reduce pigmentation to an extent. The best way to prevent melasma is by avoiding any triggers.
Skin pigmentation is commonly associated with vitamin B12 deficiency.
Yes, stress can trigger and make melasma worse. Excess stress results in overproduction of melanocyte-stimulating hormone (MSH), which cause hyperpigmentation on the skin.
Women can get melasma at any time during pregnancy. It can start as early as the first trimester and can continue throughout the pregnancy. It starts to fade after delivery or childbirth.
An imbalance in the hormone progesterone and estrogen causes melasma. This is the reason this skin condition affects pregnant women and women taking hormonal pills.
Melasma that affects pregnant women is called chloasma or “mask of pregnancy.”
Melasma fades away on its own after delivery or breastfeeding and after a woman stops taking birth control pills.
Last reviewed at:
12 Aug 2019 - 2 min read
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