Melasma is rarely seen before puberty and most commonly occurs in women during their reproductive years. Plensdorf S, Livieratos M, Dada N. Pigmentation Disorders: Diagnosis and Management. Puberty begins when your body starts to make a lot of chemicals called sex hormones. While the exact cause of melasma in pregnant women is unknown, it’s thought to be triggered by the surge of hormones in the body that are present during pregnancy. Cold Spring Harb Perspect Med. Grant says that melasma during pregnancy is common, especially during the summer, when more exposure to daylight and heat can stimulate the condition. Between 1.5% and 33% of the population may get melasma and it happens more often during a woman’s reproductive years, and rarely happens during puberty. Journal of Evolution of Medical and Dental Sciences. Treasure Island (FL): StatPearls Publishing; 2020. 2015;4:13240-13247. The darker color usually fades after pregnancy. Women are more likely to get melasma than men: about 10% of those who get melasma are men, 90% women. It most often manifests itself as darkened patches of skin around your lips and on your cheeks and forehead (8). Only 10% of people who get melasma Melasma is a common skin problem. The physical changes during puberty for males that occur are different in a number of ways. NIH. PLoS Biol. Pregnant women have increased levels of the hormones estrogen and progesterone. 9500 Euclid Avenue, Cleveland, Ohio 44195 |. 2014;4(5). According to Joiedevie.com, nearly 80 percent of the sun damage your skin will sustain in your lifetime occurs within your first 18 years of life. 2014;89(5):771-782. doi:10.1590/abd1806-4841.20143063. Treatment of melasma with topical agents, peels and lasers: an evidence-based review. Sometimes men may also be affected. Accessed 7/23/20. It is also known as chloasma. Melasma: insights and perspectives. Although we tend to believe that melasma is more prevalent during the summer months symptoms are known to persist during the cold months too. Sometimes the patches can become red or inflamed. According to the Mayo Clinic and the American Academy of Dermatology, melasma has four main causes: excessive exposure to the ultraviolet rays in sunlight; a high circulating blood concentration of the hormones estrogen and progesterone; the inheritance of a predisposition for the disorder; and a skin-care product that irritates the skin and results in an excessive production of melanocytes, the skin's pigment-producing cells. These hormones are thought to contribute to your melasma. Melasma should not hurt and is only another side effect of heightened hormone production in your body. Cestari TF, Dantas LP, Boza JC. This hormonal change leads to … Causes Genetics: Why this skin disorders occurs is unknown, but there is a strong family history in most sufferers. You may also experience more intense emotions during puberty. Acquired hyperpigmentations. Melasma usually becomes more noticeable in the summer and improves during the winter months.It is not an infection; therefore, it is not contagious, and it is not due to an allergy. Melasma: a clinico-epidemiological study of 312 cases. Clin Exp Dermatol. Melasma is a disorder that causes parts of the skin to become dark brown. In boys, the main sex hormone is testosterone. According to the Mayo Clinic and the American Academy of Dermatology, melasma has four main causes: excessive exposure to the ultraviolet rays in sunlight; a high circulating blood concentration of the hormones estrogen and progesterone; the inheritance of a predisposition for the disorder; and a skin-care product that irritates the skin and results in an excessive production of melanocytes, the skin's pigment-producing cells. In: StatPearls. Between 1.5% and 33% of the population may get melasma and it happens more often during a woman’s reproductive years, and rarely happens during puberty. Common pigmentation disorders. Melanocytes are the cells in the skin that deposit pigment. The developments that a boy undergoes during adolescence are: In boys, the scrotum and the testicles start to grow when they reach puberty. These skin pigmentation changes, known as melasma (sometimes called chloasma), often start to fade as your hormone levels return to normal and your … The prevalence of melasma and its association with quality of life in adult male Latino migrant workers. Int J Dermatol. An Bras Dermatol. While animal research suggests these biological processes are related to one another, our knowledge of brain development in … 1. The difference in prevalence may be attributed to an individual’s degree of sun exposure, geographic location, and genetics. When melasma occurs during pregnancy, it is also called chloasma, or "the mask of pregnancy." Girls develop breasts and start their periods. 2009;48(1):22-26. doi:10.1111/j.1365-4632.2009.03778.x. Advertising on our site helps support our mission. She has served as a book columnist since 2008 and is a member of the National Book Critics Circle. Another, less common name for melasma, is chloasma. Am Fam Physician. It normally appears as large dark patches on the face although other parts of the body can be affected. Cure melasma with these treatments. There’s another patient who swears by it but what works for one may not work for another. WHO GETS MELASMA? Melasma is harmless. It usually starts between 20 and 40 years of age. Melasma most often occurs in women. Nothing, but nothing is working. Possible Involvement of Keratinocyte Growth Factor in the Persistence of Hyperpigmentation in both Human Facial Solar Lentigines and Melasma. Why do we have to go through these changes? Barsh G. What Controls Variation in Skin Color? Vashi NA, Kundu RV. Melasma is a very common skin disorder, especially among pregnant women. Melasma can appear on the forehead, cheeks, nose, and chin and above upper lips and other body parts like forearms and neck. That’s why most people with melasma notice that their symptoms worsen during the summer months. 2013;169 Suppl 3:41-56. doi:10.1111/bjd.12536, Hasegawa K, Fujiwara R, Sato K, et al. Melasma is a common skin disorder. Melasma is common in pregnant women. 15% to 50% of pregnant women get it. A physician may also use a Wood's lamp to aid in the diagnosis. Pigment Cell Melanoma Res. As a parent, there are a number of preventative measures you can take to help decrease the chance of your child developing melasma as he gets older. CORONAVIRUS: DELAYS FOR ROUTINE SURGERIES, VISITOR RESTRICTIONS + COVID-19 TESTING. Some people have melasma for years or their entire lives. Melasma: Skin darkening during pregnancy – also known as the mask of pregnancy Women of reproductive ages are vulnerable to patchy brown skin discolorations often noticed during pregnancy. Your skin is your barricade. The three types are: Melasma is not cancerous, a sign of cancer, or a skin condition that “turns into” cancer. It is not cancerous and will not develop into skin cancer. condition in which areas of the skin become darker than the surrounding skin 2018;43(1):36-41. doi:10.1111/ced.13234, Lee A-Y. Diagnosis Since there are other skin disorders that display the same characteristic appearance like melasma it … Study of Influence of Blue Light Emitted by Computer/Television Screens on Melasma. Melasma is a very common skin disorder, especially among pregnant women. Br J Dermatol. Keep up to date with the latest research about melasma and all things skin related with our newsletter. While most of these causes do not generally result in children developing melasma, their effects can, over time, accumulate to make children more susceptible later in life. 2011;56(4):380-382. doi:10.4103/0019-5154.84722, Handel AC, Miot LDB, Miot HA. Dermanetwork.org notes that these treatments can include chemical peels, laser resurfacing, bleaching creams and intense pulsed light therapy, a type of treatment that uses strong broadband light to decrease skin discoloration 1. Melasma is a typically chronic disorder. There are three types of melasma and they have to do with the depth of the pigment. Recent progress in melasma pathogenesis. 1st ed. 2. My melasma came on during menopause. doi:10.1101/cshperspect.a017046, Ogbechie-Godec OA, Elbuluk N. Melasma: an Up-to-Date Comprehensive Review. Basit H, Godse KV, Al Aboud AM. At this time, your ovaries have begun to make the hormone estrogen. If hormonal changes, such as those that occur during pregnancy or while taking birth control pills, have caused melasma, it will fade after delivery or once a person stops taking the pills. It is a brown pigment which appears in the area of the face, forehead, upper cheeks and upper lip, it can also appear on other parts of the body that get lots of sun. Other people may have melasma for just a short time, such as during pregnancy. 15% to 50% of pregnant women get it. Finding the best sunscreen for melasma and wearing clothes and hats that block the UV rays of the sun is important if you plan on being outside a lot during the summer time. According to the Mayo Clinic, you should use a daily sunscreen with UVA and UVB protection that also features an SPF of more than 30, even when you are mainly within a building and not in direct sunlight. Shankar K, Godse K, Aurangabadkar S, et al. Melasma is most often diagnosed through a dermatological examination. During puberty, the oil glands are more active and your child will probably sweat more. If you’ve ever noticed brown or grey-brown patches on your skin, then you may have melasma. However, the American Academy of Dermatology reports that many doctors will conduct a small skin biopsy to test the skin's epithelial cells and confirm that the discoloration is due to melasma. Melasma usually fades after a few months. Pregnant women experience increased estrogen, progesterone, and melanocyte-stimulating hormone (MSH) levels during the second and third trimesters of pregnancy. It can take several decades for this damage to manifest itself as melasma. Institute for Quality and Efficiency in Health Care. 2015;27(5):626-629. doi:10.5021/ad.2015.27.5.626. Although melasma is purely a superficial skin condition--it is not related in any way to cancer or any other serious health problem--it can be difficult for affected individuals to deal with the uneven and patchy coloring of their skin. 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