BACKGROUND Melasma poses a great challenge as its treatment is unsatisfactory and recurrence is high. Treatment of melasma using tranexamic acid (oral, topical or intralesional) is a novel concept. OBJECTIVE To compare the efficacy of oral tranexamic acid with routine topical therapies for the treatment of melasma. METHODS It is a prospective, interventional, randomized controlled trial con...

Melasma is an acquired increased pigmentation of the skin, characterized by gray-brown symmetrical patches, mostly in the sun-exposed areas of the skin. The pathogenesis is unknown, but genetic or hormonal influences with UV radiation are important. Our present research aims to study the clinicoepidemiological pattern and the precipitating or provocation factors in melasma. A total of 36 patien...

A close contact between melanocytes and nerve fibers in the epidermis has been demonstrated in normal human skin. The interactions between the neural and immune systems play an important role in the pathophysiology of certain dermatoses. In this study, we investigated the intraepidermal nerve fibers and their contacts with melanocytes in the lesions of melasma using double labeled immunofluores...

Melasma is an acquired hypermelanosis characterized by the development of symmetrical, irregular light-to-dark brown macules and patches on sun-exposed areas of the skin, especially on the skin of the face [1]. It is common among Asian and Hispanic women who are in their third or fourth decades of life [2]. Three patterns of melasma are recognized clinically that are based on the distribution o...

Melasma is a common acquired condition of symmetric hyperpigmentation, typically occurring on the face, with higher prevalence in females and darker skin types. Multiple etiologies, including light exposure, hormonal influences, and family history, have been implicated in the pathogenesis of this disorder. Overall prevalence ranges widely at 1-50%, since values are typically calculated within a...

Melasma is an acquired, chronic, and symmetrical hypermelanosis, characterized by brown patches of variable darkness on sun exposed areas of body. There are numerous modalities of treatment currently in use for this disease, of which the chemical peeling is very commonly used. Therefore, the present work was done to see the effect of 82% lactic acid peel in the treatment of melasma. A total num...

BACKGROUND In recent times, tranexamic acid (TA) is claimed to have whitening effects especially for ultraviolet-induced hyperpigmentation including melasma. The aim of our study was to evaluate the efficacy and safety of topical solution of TA and compare it with combined solution of hydroquinone and dexamethasone as the gold standard treatment of melasma in Iranian women. MATERIALS AND METH...

Melasma has significant emotional and psychological effects. These repercussions can be measured using general measures of skin disease. SKINDEX-16 was used in a pilot study (1) to show a significant impact on health-related quality of life (HRQoL) and a correlation with disease severity measured by MASI (Melasma Area Severity Index) (2). A melasma-specific scale, the Melasma Quality of Life Sc...

R ecent data show that melasma lesions have, in addition to increased pigmentation, more elastosis and vascularization than perilesional skin. The stabilized formulation of Kligman preparation has shown significant improvements in the treatment of melasma. However, most of the treatments only target the pigmentation, and none of them has been demonstrated so far to prevent the frequent relapses...

Background and aims: Melasma is an acquired hyperpigmentation on the face, which generally happens in women between the ages of 30 to 35. If treatment is not performed in a timely manner, many cosmetic problems can arise. The aim of this study was to compare the effects of kojic acid and hydroquinone 2% creams for the treatment of melasma. Methods: 100 women with epidermic melasma who were refe...