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New oral and topical approaches for the treatment of melasma
P E Grimes1,2, S Ijaz1, R Nashawati1
1Vitiligo & Pigmentation Institute of Southern California, Los Angeles, California.
Abstract:
Melasma is a common, therapeutically challenging, and universally relapsing disorder of hyperpigmentation that is most often observed in women and individuals with Fitzpatrick Skin Types III through VI. The pathogenesis of melasma is complex and protean. Contributing factors that are often implicated in the etiopathogenesis of this condition include a genetic predisposition, intense ultraviolet radiation exposure, and hormonal influences. Therapeutic interventions for melasma include a multimodality approach incorporating photoprotection agents, topical and oral skin lighteners, and resurfacing procedures. Given our expanding knowledge of the pathogenesis of melasma, new and effective treatments are expanding our therapeutic armamentarium. This article reviews new and emerging oral and topical treatments for melasma.
Insights
Melasma, a common hyperpigmentation disorder, presents complex causes and relapsing nature. New oral and topical treatments offer expanded therapeutic options for patients.
Area of Science:
- Dermatology
- Hyperpigmentation Disorders
Background:
- Melasma is a frequent, challenging skin hyperpigmentation disorder, primarily affecting women with Fitzpatrick Skin Types III-VI.
- Its pathogenesis is multifactorial, involving genetic predisposition, UV radiation, and hormonal factors.
- Current treatments involve a combination of photoprotection, lightening agents, and procedures.
Purpose of the Study:
- To review novel and emerging oral and topical treatments for melasma.
- To update clinicians on the expanding therapeutic landscape for this condition.
Main Methods:
- Literature review of recent studies on melasma treatments.
- Synthesis of information on new oral and topical therapeutic agents.
Main Results:
- Emerging treatments show promise in managing melasma.
- New agents are expanding the options beyond traditional therapies.
Conclusions:
- Advances in understanding melasma pathogenesis are driving the development of new treatments.
- The therapeutic armamentarium for melasma is growing with new oral and topical options.
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