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- DOI 10.18231/j.ijced.53873.1758870026
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Dermoscopic assessment of melasma at a tertiary care centre in South India: A cross sectional study
Introduction: Melasma also referred to as chloasma or the mask of pregnancy is characterized by symmetrical brownish or brownish black macules and patches. Dermoscopy is increasingly used for the diagnosis of pigmentary disorders like melasma. The colour of the melanin in dermoscopy depends on quantity or density and location of the pigment which helps in classifying the condition.
Aim: To assess the dermoscopic features in different types of melasma.
Materials and Methods: This was a year-long cross-sectional study conducted among 100 patients with melasma. All dermoscopic findings were studied using handheld pocket dermoscope (Dermlite DL4 3GEN).
Results: The mean age of study population was 44.12± 8.1 years. In our study, 95% were women and 5 % were men. Centrofacial melasma (51%) was the most common morphological pattern observed, followed by malar (44%) and mandibular (5%). Epidermal type of melasma was commonly found to be associated with Fitzpatrick skin type IV (63.3%). On dermoscopic evaluation, 59% had epidermal melasma, followed by 35% with dermal melasma, and 6% had mixed pattern. The colour of the lesion noted on dermoscopy was dark brown (51%) followed by light brown (47%) and blue (2%). Dermoscopy showed majority of the patients having reticuloglobular pattern(68%), followed by perifollicular brownblack globules (57%), unpatterned patchy brownblack pigment (32%), granular(33%), and telangiectasia (22%). Telangiectasia was most commonly seen in centrofacial type.
Conclusion: Dermoscopy can be a valuable tool in differentiating melasma from other facial melanoses. Dermoscopy also aid in classifying the melasma subtypes, which further helps in deciding the appropriate treatment for patients.
References
- Miot LD, Miot HA, Silva MG, Marques ME. Physiopathology of melasma. An Bras Dermatol. 2009;84(6):623–35.
- Bolanca I, Bolanca Z, Kuna K, Vuković A, Tuckar N, Herman R, et al. Chloasma--the mask of pregnancy. Coll Antropol. 2008;32:139-41.
- Tamega ADA, Miot LDB, Bonfietti C, Gige TC, Marques MEA, Miot HA, et al. Clinical patterns and epidemiological characteristics of facial melasma in Brazilian women. J Eur Acad Dermatol Venereol. 2013;27(2):151–6.
- O’Brien TJ, Dyall-Smith D, Hall AP. Melasma of the forearms. Aust J Dermatol. 1997;38(1):35–7.
- Nanjundaswamy BL, Joseph JM, Raghavendra KR. A clinico dermoscopic study of melasma in a tertiary care center. Pigment Int. 2017;4(2):98–103.
- Argenziano G, Soyer HP, Chimenti S, Talamini R, Corona R, Sera F, et al. Dermoscopy of pigmented skin lesions: Results of a consensus meeting via the internet. J Am Acad Dermatol. 2003;48(5):679–93.
- Braun RP, Scope A, Marghoob AA, Kerl K, Rabinovitz HS, Malvehy J. et al. Histopathologic tissue correlations of dermoscopic structures. In: Atlas of Dermoscopy. 2nd Edition, CRC Press. 2012:10–32.
- Sreenath S, Phulari YJ, Hiremath RN, Hiremath, Ghodke S, Raj R. Unmasking dermoscopic evaluation of melasma: findings of a cross- sectional study in Central India. Clin Dermatol Rev. 2022;6(2):114–
- Onder S, Demircan YT, Aksac SE, Etgü F. Examining the effects of melasma on women’s quality of life: A study from eastern black sea region of turkey. Turkish J Dermatol. 2021;15:55–60.
- Jagannathan M, Sadagopan K, Ekkarakudy J, Anandan H. Clinico- epidemiological Study of Patients with Melasma in a Tertiary Care Hospital - A Prospective Study. Int J Sci Study. 2017;4(11):117–20.
- Yalamanchili R, Shastry V, Betkerur J. Clinico-epidemiological study and quality of life assessment in melasma. Indian J Dermatol. 2015;60(5):519.
- Anderson L, Rodrigues M. Quality of life in a cohort of melasma patients in Australia. Aust J Dermatol. 2019;60(2):160–2.
- Gupta T, Sarkar R. Dermoscopy in Melasma − Is it Useful?. Pigment Int. 2017;4;63–4.
- KrupaShankar DSR, Somani VK, Kohli M, Sharad J, Ganjoo A, Kandhari S, et al. A Cross-Sectional, Multicentric Clinico- Epidemiological Study of Melasma in India. Dermatol Ther. 2014;4:71–81.
- Achar A, Rathi SK. Melasma: A clinico-epidemiological study of 312 cases. Indian J Dermatol. 2011;56(4):380–2.
- Sanchez NP, Pathak MA, Sato S, Fitzpatrick TB, Sanchez JL, Mihm-Jr MC, et al. A clinical, light microscopic, ultrastructural, and immunofluorescence study. J Am Acad Dermatol . 1981;4(6):698–710.
- Johnston GA, Sviland L, McLelland J. Melasma of the arms associated with hormone replacement therapy. Br J Dermatol. 1998;139(5):932.
- Pathak MA, Riley FC, Fitzpatrick TB. Melanogenesis in human skin following exposure to long-wave ultraviolet and visible light. J Invest Dermatol. 1962;39:435–443.
- Goh CL, Dlova CN. A retrospective study on the clinical presentation and treatment outcome of melasma in a tertiary dermatological referral centre in Singapore. Singapore Med J. 1999;40(7):455–8.
- Sardesai VR, Kolte JN, Srinivas BN. A clinical study of melasma and a comparison of the therapeutic effect of certain currently available topical modalities for its treatment. Indian J Dermatol. 2013;58(3):239.
- Bhattarai S, Pradhan K, Sharma S, Rajouria EA. Clinical patterns and epidemiological characteristics of melasma in a tertiary care hospital of Nepal. Pigment Int. 2017;4:35–8.
- Tamler C, Fonsesca RMR, Pereira FBC, Barcauí CB. Classification of melasma by dermoscopy: comparative study with Wood’s lamp. Surg Cosmet Dermatol. 2009;13:115–9.
- Manjunath KG, Kiran C, Sonakshi S, Agrawal R. Melasma: Through the eye of a dermoscope. Int J Res Dermatol. 2016;2(4):113–7.
- Neema S, Chatterjee M. Dermoscopic Characteristics of Melasma in Indians: A Cross-sectional Study. Int J Dermoscopy. 2017;1(1):6–
- Manjunath KG, Kiran C, Sonakshi S, Ashwini N, Agrawal R. Comparative study of Wood’s lamp and dermoscopic features of melasma. J Evid Based Med Health. 2015;2(60):9012–15.
How to Cite This Article
Vancouver
Senthil P, Manickam N, Palaniappan D, Vellaisamy SG, Gopalan K. Dermoscopic assessment of melasma at a tertiary care centre in South India: A cross sectional study [Internet]. IP Indian J Clin Exp Dermatol. 2025 [cited 2025 Oct 02];11(3):339-344. Available from: https://doi.org/10.18231/j.ijced.53873.1758870026
APA
Senthil, P., Manickam, N., Palaniappan, D., Vellaisamy, S. G., Gopalan, K. (2025). Dermoscopic assessment of melasma at a tertiary care centre in South India: A cross sectional study . IP Indian J Clin Exp Dermatol, 11(3), 339-344. https://doi.org/10.18231/j.ijced.53873.1758870026
MLA
Senthil, Pooja, Manickam, Navakumar, Palaniappan, Dhivya, Vellaisamy, Seethalakshmi Ganga, Gopalan, Kannan. "Dermoscopic assessment of melasma at a tertiary care centre in South India: A cross sectional study ." IP Indian J Clin Exp Dermatol, vol. 11, no. 3, 2025, pp. 339-344. https://doi.org/10.18231/j.ijced.53873.1758870026
Chicago
Senthil, P., Manickam, N., Palaniappan, D., Vellaisamy, S. G., Gopalan, K.. "Dermoscopic assessment of melasma at a tertiary care centre in South India: A cross sectional study ." IP Indian J Clin Exp Dermatol 11, no. 3 (2025): 339-344. https://doi.org/10.18231/j.ijced.53873.1758870026