Summary
Definição
História e exame físico
Principais fatores diagnósticos
- centrofacial, malar, or mandibular distribution of muddy brown to gray hyperpigmentation
Fatores de risco
- female sex
- Fitzpatrick III-VI skin types
- ultraviolet radiation
- oral contraceptive pill
- pregnancy
- family history of melasma
- photosensitizing drugs
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- Wood lamp examination
Investigações a serem consideradas
- skin biopsy
Novos exames
- reflectance confocal microscopy (RCM)
Algoritmo de tratamento
pregnant
nonpregnant
Colaboradores
Autores
Nazanin Saedi, MD
Director
Laser Surgery and Cosmetic Dermatology
Thomas Jefferson University Hospitals
Philadelphia
PA
Declarações
NZ has been on the advisory board of Cynosure, Cartessa, Allergan, and Alastin; used equipment from Cynosure and Cartessa; and been a consultant to Allergan and Alastin.
Agradecimentos
Dr Nazanin Saedi would like to gratefully acknowledge Dr Laura Korb Ferris and Dr Maria Liliana Marino, previous contributors to this topic.
Declarações
MLM and LKF declare that they have no competing interests.
Revisores
Chad M. Hivnor, Major, USAF, MC, FS
Chief
Outpatient & Pediatric Dermatology
59th Medical Wing/ SGOMD
Lackland Air Force Base
San Antonio
TX
Declarações
CMH declares that he has no competing interests.
Jashin Wu, MD
Chief Dermatology Resident
University of California
Irvine
CA
Declarações
JW declares that he has no competing interests.
Diagnósticos diferenciais
- Exogenous ochronosis
- Postinflammatory hyperpigmentation
- Phototoxic reaction
Mais Diagnósticos diferenciais
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