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Medical management of melasma: A review with consensus recommendations by Indian pigmentary expert group
- Source :
- Indian Journal of Dermatology, Vol 62, Iss 6, Pp 450-469 (2017)
- Publication Year :
- 2017
- Publisher :
- Wolters Kluwer Medknow Publications, 2017.
-
Abstract
- Melasma is one of the most common hyperpigmentary disorders found mainly in women and dark-skinned patients. Sunlight, hormones, pregnancy, and genetics remain the most implicated in the causation of melasma. Although rather recalcitrant to treatment, topical agents such as hydroquinone, modified Kligman's Regime, azelaic acid, kojic acid, Vitamin C, and arbutin still remain the mainstay of therapy with sun protection being a cornerstone of therapy. There are several new botanical and non botanical agents and upcoming oral therapies for the future. There is a lack of therapeutic guidelines, more so in the Indian setup. The article discusses available evidence and brings forward a suggested treatment algorithm by experts from Pigmentary Disorders Society (PDS) in a collaborative discussion called South Asian Pigmentary Forum (SPF).
- Subjects :
- Expert group
medical treatment
melasma
Dermatology
RL1-803
Subjects
Details
- Language :
- English
- ISSN :
- 00195154 and 19983611
- Volume :
- 62
- Issue :
- 6
- Database :
- Directory of Open Access Journals
- Journal :
- Indian Journal of Dermatology
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.445c073e6f14af0925c240b6c5404a6
- Document Type :
- article
- Full Text :
- https://doi.org/10.4103/ijd.IJD_489_17