Let’s Talk About Melasma

August 15, 2019

Understanding melasma risk and how best to prevent and treat the skin condition has many dermatologists scratching their heads. While management and treatment hurdles remain, there is a growing arsenal of melasma remedies at dermatologists’ disposals. …

The Making of Melasma

Patients at most risk for melasma are female — especially those who are pregnant, on oral contraceptives or hormone supplementation, according to Dr. Friedmann.

“This is because a high estrogen environment is essential to trigger melasma. While estrogen may be the spark the ignites this chronic condition, ultraviolet radiation (potentially in combination with visible light and infrared radiation) is the fuel that keeps the fire going,” Dr. Friedmann says.

It’s difficult to predict who will develop melasma, according to Calabasas, Calif., dermatologist Anna Guanche, M.D.

“It usually starts in your late 20s or early 30s and then progresses. Although all skin types may develop it, types III through IV can have the most difficult time camouflaging the robust pigment that develops,” Dr. Guanche says.

Some studies suggest other potential causes or associations, including thyroid disease and genetic influences, according to Lisa Guidry Pruett, M.D., a dermatologist with U.S. Dermatology Partners, Carrollton, Texas.

Source: Dermatology Times – Let’s talk about melasma

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