Melasma - Wikipedia, the free encyclopedia. Melasma (also known as Chloasma faciei. Although it can affect anyone, melasma is particularly common in women, especially pregnant women and those who are taking oral or patch contraceptives or hormone replacement therapy (HRT) medications. These patches often develop gradually over time. Melasma does not cause any other symptoms beyond the cosmetic discoloration. Melasma is also common in pre- menopausal women.
It is thought to be enhanced by surges in certain hormones. Women with a light brown skin type who are living in regions with intense sun exposure are particularly susceptible to developing this condition. Other rare 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, as discovered by Dr. FJJ Schmidt of Rotterdam in 1. Diagnosis. Assessment by a dermatologist will help guide treatment. This may include use of a Woods lamp to determine depth of the melasma pigment. Treatments to hasten the fading of the discolored patches include: Topical depigmenting agents, such as hydroquinone (HQ) either in over- the- counter (2%) or prescription (4%) strength. HQ is a chemical that inhibits tyrosinase, an enzyme involved in the production of melanin. Tretinoin, an acid that increases skin cell (keratinocyte) turnover. This treatment cannot be used during pregnancy. Azelaic acid (2. 0%), thought to decrease the activity of melanocytes. Either in an aesthetician's office or as a home massager unit. Laser but not IPL (IPL can make the melasma darker)In all of these treatments the effects are gradual and a strict avoidance of sunlight is required. The use of broad- spectrum sunscreens with physical blockers, such as titanium dioxide and zinc dioxide is preferred over that with only chemical blockers. This is because UV- A, UV- B and visible lights are all capable of stimulating pigment production. Patients should avoid other precipitants including hormonal triggers. Cosmetic camouflage can also be used to hide melasma. See also. Andrews' Diseases of the Skin: Clinical Dermatology. ISBN 0- 7. 21. 6- 2. Tunzi, M; Gray, GR (January 2. J.; Fridmanis, M; Misiunas, A. L.; Pafume, O; Gonzalez, E. A.; Niepomniszcze, H (1. The Journal of Clinical Endocrinology and Metabolism. There's this circular, dark, dry patch of skin on my top lip. It came out of nowhere! Does anyone have any ideas? Dry patch of skin aove my lip? How do I fix hard, dry, smooth, skin patches on lips? I have a patch of dry skin above my. Hi Lyra, it is important to quit using chemical products such as lipsticks to cure a white spot. Allow the spots to be there as it is, to cure them. Also follow any of the above mentioned methods for the complete cure. Incorporate healthy food items which are rich in.
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