
Melasma is an acquired facial pigmented brown or grayish that primarily affects women, often those of darker complexion.
The spots, irregular pigmented areas appear occasionally in the face and neck.
The precise cause of melasma is unknown, but the following factors known to contribute to it: genetics, sun exposure, pregnancy, oral contraceptives, cosmetics, and drugs that contain toxic agents such as anti-convulsant medication.
Melasma can be classified into three different categories; epidermal, dermal and mixed type. The type of melasma can be determined with a Wood light examination.
Patients with epidermal type melasma exhibit excellent response to therapy. Patients with mixed type patients respond well and dermal respond poorly typed.
During the therapy of melasma, tablets for birth control should be discontinued and it is advisable to avoid the sun.
You should use a sunscreen that contains zinc oxide and titanium dioxide with an SPF higher than 15 in those who will be exposed to sunlight. During sun exposure, sunscreen should be reapplied every two hours and should wear a hat.