What is melasma?

What is melasma? Melasma, also called ‘chloasma’ and ‘pregnancy mask’, is a common skin condition of adults in which brown or greyish patches of pigmentation (colour) develop, usually on the face. The name comes from melas, the Greek word for black, or cholas, from the word green-ish.

Does melasma go away on its own?

If melasma occurs during pregnancy, it may go away a few months after delivery and treatment may not be necessary- though it may come back during another pregnancy. Hydroquinone and retinoid creams should be avoided in pregnancy as they could harm the foetus.

How is the severity of melasma measured?

The severity of facial melasma can be estimated by using colorimetry, mexametry, and the MASI score (Melasma Area and Severity Index). Colorimetry objectively and reproducibly quantifies and qualifies the reflex of a standardized source of monochromatic lights at a skin site.

What is the best treatment for melasma?

Retinol Retinoids are a must for melasma. They speed up your cells turnover rate, meaning they help push those damaged, hyper-pigmented skin cells to the surface (and then slough them off) to make room for fresh, new, and undamaged skin cells.

What is melasma and what causes it?

What is melasma? Melasma is a common skin problem. The condition causes dark, discolored patches on your skin. It’s also called chloasma, or the “mask of pregnancy,” when it occurs in pregnant women. The condition is much more common in women than men, though men can get it too.

What does melasma look like on the face?

If you have melasma you’re probably experiencing light brown, dark brown and/or blue-gray patches on your skin. They can appear as flat patches or freckle-like spots. Commonly affected areas include your face, including the cheeks, upper lip and forehead, as well as the forearms.

What are melasma patches?

Melasma causes patches of discoloration. The patches are darker than your usual skin color. It typically occurs on the face and is symmetrical, with matching marks on both sides of the face. Other areas of your body that are often exposed to sun can also develop melasma. Brownish colored patches usually appear on the:

Does melasma go away on its own?

Melasma causes dark patches to form on the skin, most often on the face. While these skin changes are harmless, some people may find them bothersome. Treatment is effective for some people. Melasma that is due to hormonal changes may also fade over time, once hormone levels return to normal.

Melasma is hard to treat. To determine a treatment plan, your healthcare provider will have to first figure out what’s possibly causing the melasma. Is it sunlight? Your birth control?

Why is my melasma getting worse?

Chemical peels and lasers may cause the surface layers of skin to die, cause post-procedure hyperpigmentation, and cause hypertrophic scars. They can be safely used with topical medications, but only by specialists who have experience treating melasma. How long will it take the medications to take effect?

What is the melasma Severity Index?

To propose a more practical scoring system, named as Melasma Severity Index (MSI), for assessing the disease severity and treatment response in melasma. Four dermatologists were trained to calculate MASI and also the proposed MSI scores.

What is the Masi score for melasma?

Fig. 8.1 Melasma area and severity index (MASI). A area, D darkness, H homogeneity The MASI score range from 0 to 48, with 48 being the most severe.

What are the different grades of melasma?

For the purpose of simplicity, melasma presentation in our daily outpatient clinic can be graded as mild (Fig. 5.3a), moderate (Fig. 5.3b), and severe (Fig. 5.3c), using the Melasma Severity Scale (MSS).

How is quality of life measured in melasma patients?

The WTP method could be a useful tool for measuring the quality of life of patients with melasma. 1. El-Essawi D, Musial JL, Hammad A, Lim HW: A survey of skin disease and skin-related issues in Arab Americans. J Am Acad Dermatol 2007, 56: 933–8.

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