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DermAtlas: FACE - melasma
© 2001-2009, DermAtlas
Image Name: Melasma_1_070403   File Type: jpg
Diagnosis: MELASMA /
DRUG REACTION
  Category: hyperpigmentation /
treatment complication /
drug reaction /
photosensitivity, photoexacerbated
Body Site: face   Age: 37 years
Contributor: Alyson Brosseau    
Description: symmetric blotchy hyperpigmented patches
Comments: This 37-year-old woman was evaluated for persistent brown discoloration on her face. The lesions appeared 3 months after she started oral birth control pills.

DermAtlas: FACE - melasma
© 2001-2009, DermAtlas
Image Name: Melasma_1_051205   File Type: jpg
Diagnosis: MELASMA   Category: hyperpigmentation
Body Site: face / cheek   Age: 35 years
Contributor: Deanna Rivers, CMA    
Description: reticulated and confluent well demarcated hyperpigmented patches
Comments: This healthy 35-year-old woman developed patchy hyperpigmentation on her face which intensified following sun exposure.

DermAtlas: CHEEK - melasma
© 2001-2009, DermAtlas
Image Name: Melasma_1_041104   File Type: jpg
Diagnosis: MELASMA /
DERMATITIS, CONTACT IRRITANT
  Category: hyperpigmentation
Body Site: cheek / face
nose
  Age: 24 years
Contributor: Kosman Sadek Zikry, MD    
Description: hyperpigmentation after apply irritating bleeching gel
Comments: This young woman developed an irritant contact dermatitis after applying a bleaching gel to melasma on her cheeks and nasal bridge.

DermAtlas: FACE - melasma
© 2001-2009, DermAtlas
Image Name: melasma_1_040706   File Type: jpg
Diagnosis: MELASMA   Category: photosensitivity, photoexacerbated /
hyperpigmentation
Body Site: face / nose
cheek
  Age: 35 years
Contributor: Shahbaz A. Janjua, MD    
Description: symmetric light brown confluet patches
Comments: This 35-year-old farm worker with a history of chronic syn exposure developed brown patches on the malar aspects of his cheeks and nose. He improved with an SPF 30 sunscreen and a topical cream containing fluocinolone acetonide, hydroquinone, and tretinoin.
Related Images: melasma_2_040706 

DermAtlas: FACE - melasma
© 2001-2009, DermAtlas
Image Name: melasma_2_040706   File Type: jpg
Diagnosis: MELASMA   Category: photosensitivity, photoexacerbated /
hyperpigmentation
Body Site: face / nose
cheek
  Age: 35 years
Contributor: Shahbaz A. Janjua, MD    
Description: symmetric light brown confluet patches
Comments: This 35-year-old farm worker with a history of chronic syn exposure developed brown patches on the malar aspects of his cheeks and nose. He improved with an SPF 30 sunscreen and a topical cream containing fluocinolone acetonide, hydroquinone, and tretinoin.
Related Images: melasma_1_040706 

DermAtlas: FACE - melasma
© 2001-2009, DermAtlas
Image Name: Melasma_1_031016   File Type: jpg
Diagnosis: MELASMA   Category: hyperpigmentation
Body Site: face   Age: 35 years
Contributor: Jayakar Thomas, MD. PhD    
Description: symmetric brown patches
Comments: This 35-year-old woman on oral contraceptives developed brown patches over her malar prominences.

DermAtlas: FACE - melasma
© 2001-2009, DermAtlas
Image Name: Melasma_2_030505   File Type: jpg
Diagnosis: MELASMA   Category: hyperpigmentation
Body Site: face / nose
cheek
  Age: 40 years
Contributor: Shahbaz A. Janjua, MD    
Description: symmetric, hyperpigmented macules and confluent patches.
Comments: This 40-year-old woman developed melasma on the malar areas and nose shortly after stopping oral contraceptve pills. She slowly improved with topical hydroquinone 2 percent plus tretinoin 0.05 percent cream and an SPF 30 sunscreen.
Related Images: All related Images  Melasma_3_030505  Melasma_1_030505 

DermAtlas: FACE - melasma
© 2001-2009, DermAtlas
Image Name: Melasma_1_030505   File Type: jpg
Diagnosis: MELASMA   Category: hyperpigmentation
Body Site: face / nose
cheek
  Age: 40 years
Contributor: Shahbaz A. Janjua, MD    
Description: symmetric, hyperpigmented macules and confluent patches.
Comments: This 40-year-old woman developed melasma on the malar areas and nose shortly after stopping oral contraceptve pills. She slowly improved with topical hydroquinone 2 percent plus tretinoin 0.05 percent cream and an SPF 30 sunscreen.
Related Images: All related Images  Melasma_3_030505  Melasma_2_030505 

DermAtlas: FACE - melasma
© 2001-2009, DermAtlas
Image Name: Melasma_3_030505   File Type: jpg
Diagnosis: MELASMA   Category: hyperpigmentation
Body Site: face / nose
cheek
  Age: 40 years
Contributor: Shahbaz A. Janjua, MD    
Description: symmetric, hyperpigmented macules and confluent patches.
Comments: This 40-year-old woman developed melasma on the malar areas and nose shortly after stopping oral contraceptve pills. She slowly improved with topical hydroquinone 2 percent plus tretinoin 0.05 percent cream and an SPF 30 sunscreen.
Related Images: All related Images  Melasma_2_030505  Melasma_1_030505 

DermAtlas: FOREHEAD - melasma
© 2001-2009, DermAtlas
Image Name: Melasma_3_030410   File Type: jpg
Diagnosis: MELASMA   Category: hyperpigmentation /
cutaneous sign of systemic disease /
obstetrics (pregnancy related) and gynecology
Body Site: forehead   Age: 30 years
Contributor: Shahbaz A. Janjua, MD    
Description: symmetric, hyperpigmented macules and confluent patches.
Comments: This 30-year-old woman developed symmetric melawsma on the malar areas and forehead during pregnancy. She slowly improved with topical hydroquinone 2 percent plus tretinoin 0.05 percent cream and SPF 30 sunscreen.
Related Images: All related Images  Melasma_1_030410  Melasma_2_030410 

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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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