Abstract
Facial melanosis is a common problem in pigmented skin. This is equally seen in both sexes even though majority is women who seek treatments. In middle-aged women, melasma is the commonest cause for facial melanosis while facial acanthosis in middle-aged men. Nasolabial and perioral hyperpigmentation is a well-recognized common distressing problem in young adults, both men and women, aged 20–35 years, which has not been studied in detail. This chapter illustrates facial pigmentation following freckles, melasma, ashy dermatoses, lichen planus pigmentosus, facial acanthosis, peribuccal and nasolabial pigmentation, periorbital hyperpigmentation, inflammatory diseases causing facial pigmentation (e.g., systemic sclerosis, lichen planus), and retention hyperkeratosis.
The clinical photographs in this chapter are photographed by Dr. Ranthilaka R. Ranawaka, consultant dermatologist, General Hospital Kalutara, Sri Lanka.
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References
Becker S, Schiekofer C, Vogt T et al (2017) [Melasma: an update on the clinical picture, treatment, and prevention]. Hautarzt 68(2):120–126. https://doi.org/10.1007/s00105-016-3927-7
Chandran V, Kumarasinghe SP (2017) Ashy dermatosis or ashy dermatosis-like pigmentation caused by omeprazole? Int J Dermatol 56(2):e29–e30. https://doi.org/10.1111/ijd.13228
Chatterjee M, Neema S (2018) Dermoscopy of pigmentary disorders in brown skin. Dermatol Clin 36(4):473–485. https://doi.org/10.1016/j.det.2018.05.014
Cheng HM, Chuah SY, Gan EY et al (2018) A retrospective clinico-pathological study comparing lichen planus pigmentosus with ashy dermatosis. Australas J Dermatol 59(4):322–327. https://doi.org/10.1111/ajd.12813
Chu AC, Teixeira F (2016) Acquired disorders of epidermal keratinization. In: Rook’s textbook of dermatology, 9th edn. Wiley-Blackwell Science, London, p 87.2
Dayal S, Sahu P, Jain VK, Khetri S (2016) Clinical efficacy and safety of 20% glycolic peel, 15% lactic peel, and topical 20% vitamin C in constitutional type of periorbital melanosis: a comparative study. J Cosmet Dermatol 15(4):367–373. https://doi.org/10.1111/jocd.12255
Del Rosario E, Florez-Pollack S, Zapata L Jr et al (2018) Randomized, placebo-controlled, double-blind study of oral tranexamic acid in the treatment of moderate-to-severe melasma. J Am Acad Dermatol 78(2):363–369. https://doi.org/10.1016/j.jaad.2017.09.053
Elgash M, Dlova N, Ogunleye T, Taylor SC (2019) Seborrheic dermatitis in skin of color: clinical considerations. J Drugs Dermatol 18(1):24–27
Gupta M, Mahajan VK (2017) Clinical profile of 300 men with facial hypermelanosis. J Dermatol Case Rep 11(2):20–24. https://doi.org/10.3315/jdcr.2017.1244
Gupta V, Sharma VK (2018) Ashy dermatosis, lichen planus pigmentosus and pigmented cosmetic dermatitis: are we splitting the hair? Indian J Dermatol Venereol Leprol 84(4):470–474. https://doi.org/10.4103/ijdvl.IJDVL_549_17
Huu SN, Van CL, Van TN et al (2019) Successful treatment of freckles by alex trivantage laser wavelight 755 nm in Vietnamese patients. Open Access Maced J Med Sci 7(2):287–290. https://doi.org/10.3889/oamjms.2019.096
Kumarasinghe SPW, Pandya A, Chandran V et al (2019) A global consensus statement on ashy dermatosis, erythema dyschromicum perstans, lichen planus pigmentosus, idiopathic eruptive macular pigmentation, and Riehl’s melanosis. Int J Dermatol. Mar 58(3):263–272. https://doi.org/10.1111/ijd.14189
Lee BW, Schwartz RA, Janniger CK (2017) Melasma. G Ital Dermatol Venereol 152(1):36–45. https://doi.org/10.23736/S0392-0488.16.05425-0
Lima EVA, Lima MMDA, Paixão MP, Miot HA (2017) Assessment of the effects of skin microneedling as adjuvant therapy for facial melasma: a pilot study. BMC Dermatol 17(1):14. https://doi.org/10.1186/s12895-017-0066-5
Mendiratta V, Rana S, Jassi R, Chander R (2019a) Study of causative factors and clinical patterns of periorbital pigmentation. Indian Dermatol Online J 10(3):293–295. https://doi.org/10.4103/idoj.IDOJ_158_18
Mendiratta V, Sanke S, Chander R (2019b) Lichen planus pigmentosus: a clinico-etiological study. Indian Dermatol Online J 10(3):288–292. https://doi.org/10.4103/idoj.IDOJ_253_18
Nayak CS, Giri AS, Zambare US (2018) A Study of Clinicopathological Correlation of Periorbital Hyperpigmentation. Indian Dermatol Online J 9(4):245–249. https://doi.org/10.4103/idoj.IDOJ_244_17
Noble A, Greenstein J, Husain A et al (2017) Periorbital melanosis. Am J Emerg Med 35(2):380.e1–380.e2. https://doi.org/10.1016/j.ajem.2016.08.056
Panda S, Das A, Lahiri K et al (2017) Facial acanthosis nigricans: a morphological marker of metabolic syndrome. Indian J Dermatol 62(6):591–597. https://doi.org/10.4103/ijd.IJD_545_17
Piguet V, Breathnach SM, Cleach LL (2016) Lichen planus and lichenoid disorders. In: Rook’s textbook of dermatology, 9th edn. Wiley-Blackwell Science, London, p 37.8
Praetorius C, Sturm RA, Steingrimsson E (2014) Sun-induced freckling: ephelides and solar lentigines. Pigment Cell Melanoma Res 27(3):339–350. https://doi.org/10.1111/pcmr.12232
Sarkar R, Ranjan R, Garg S (2016) Periorbital hyperpigmentation: a comprehensive review. J Clin Aesthet Dermatol 9(1):49–55
Sarma N, Chakraborty S, Bhattacharya SR (2014) Acquired, idiopathic, patterned facial pigmentation (AIPFP) including periorbital pigmentation and pigmentary demarcation lines on face follows the lines of Blaschko on face. Indian J Dermatol 59(1):41–48. https://doi.org/10.4103/0019-24123492
Sonthalia S, Vedamurthy M, Thomas M et al (2019) Modified phenol peels for treatment-refractory hyperpigmentation of lichen planus pigmentosus: a retrospective clinico-dermoscopic analysis. J Cosmet Dermatol. https://doi.org/10.1111/jocd.12862
Stefanaki I, Antoniou C, Stratigos A (2016) Benign melanocytic proliferations and melanocytic naevi. In: Rook’s textbook of dermatology, 9th edn. Wiley-Blackwell Science, London, p 132.1
van Geel N, Speeckaert R (2016) Acquired pigmentary disorders. In: Rook’s textbook of dermatology, 9th edn. Wiley-Blackwell Science, London, p 88.10
Vanaman Wilson MJ, Jones IT et al (2018) The safety and efficacy of treatment with a 1,927-nm diode laser with and without topical hydroquinone for facial hyperpigmentation and melasma in darker skin types. Dermatol Surg 44(10):1304–1310. https://doi.org/10.1097/DSS.0000000000001521
Verma S, Vasani R, Joshi R et al (2016) A descriptive study of facial acanthosis nigricans and its association with body mass index, waist circumference and insulin resistance using HOMA2 IR. Indian Dermatol Online J 7(6):498–503
Vinay K, Kumar S, Bishnoi A et al (2019) A clinico-demographic study of 344 patients with lichen planus pigmentosus seen in a tertiary care center in India over an 8-year period. Int J Dermatol. https://doi.org/10.1111/ijd.14540
Wang JV, Jhawar N, Saedi N (2019) Tranexamic acid for melasma: evaluating the various formulations. J Clin Aesthet Dermatol 12(8):E73–E74
Zawar V, Daga S, Pawar M, Kumavat S (2019) Periorbital pigmentation: an alarming sign of metabolic syndrome. J Cosmet Dermatol. https://doi.org/10.1111/jocd.12852
Zaynoun S, Rubeiz N, Kibbi AG (2008) Ashy dermatoses-a critical review of the literature and a proposed simplified clinical classification. Int J Dermatol 47(6):542–544. https://doi.org/10.1111/j.1365-4632.2008.03625.x
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Ranawaka, R.R. (2021). Facial Melanosis. In: Ranawaka, R.R., Kannangara, A.P., Karawita, A. (eds) Atlas of Dermatoses in Pigmented Skin. Springer, Singapore. https://doi.org/10.1007/978-981-15-5483-4_40
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