Exposure factors in the occurrence and development of melasma (Review)

Yijun Chen1, Gautham Vellaichamy2, Samantha L Schneider2

  • 1Department of Dermatology, The Secondary Affiliated Hospital, Shandong First Medical University, Tai'an, Shandong 271000, P.R. China.

PubMed

Insights

Melasma, a skin pigmentation disorder causing facial patches, is increasingly common. Understanding its triggers is key for effective prevention and treatment strategies.

Area of Science:

  • Dermatology
  • Pigmentation Disorders
  • Epidemiology

Background:

  • Melasma is an acquired skin condition characterized by symmetrical, yellow-brown facial patches.
  • The incidence of melasma is rising annually, highlighting a growing public health concern.
  • Identifying causative factors is crucial for developing targeted interventions.

Purpose of the Study:

  • To review and summarize the known and potential exposure factors that trigger melasma development.
  • To provide a comprehensive overview of environmental and intrinsic factors implicated in melasma pathogenesis.
  • To inform future research and clinical practice regarding melasma etiology.

Main Methods:

  • Systematic literature review of studies investigating melasma triggers.
  • Analysis of epidemiological data on melasma incidence and risk factors.
  • Synthesis of findings from clinical and experimental research on pigmentation.

Main Results:

  • Several key exposure factors, including ultraviolet radiation, hormonal influences, and certain medications, are consistently associated with melasma.
  • Genetic predisposition and cosmetic product use may also play significant roles.
  • The review consolidates evidence on diverse triggers, emphasizing multifactorial etiology.

Conclusions:

  • Understanding the multifactorial nature of melasma, driven by various exposure factors, is essential for effective management.
  • Further research into specific triggers and their interactions can lead to improved preventive measures and therapeutic options.
  • This review provides a foundation for targeted strategies to combat the increasing prevalence of melasma.

Related Concept Videos

Infection01:20

Infection

When a pathogen enters the body and reproduces, it can cause an infection, damage body cells, and cause illness symptoms that eventually lead to disease. Therefore, its prevention requires breaking the chain of infection.
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
Infectious Diseases and Their Occurrence01:28

Infectious Diseases and Their Occurrence

Infectious diseases appear in populations through various transmission patterns, influenced by pathogen characteristics, population immunity, environmental conditions, and social behavior. Understanding these patterns is essential for effective public health surveillance and intervention. These categories—sporadic, outbreak, epidemic, pandemic, and endemic—help frame the nature and scope of disease events.Sporadic diseases occur irregularly and infrequently, without a predictable temporal or...
Acne Infection01:27

Acne Infection

Acne is a multifactorial skin condition primarily affecting adolescents and young adults, with a global prevalence estimated to exceed 75% in this demographic. The condition is characterized by the formation of comedones (blackheads and whiteheads), papules, pustules, nodules, and, in severe cases, cysts, particularly in areas rich in sebaceous glands such as the face, neck, chest, and back. The pathogenesis involves increased sebum production, follicular hyperkeratinization, colonization by...
Smallpox01:24

Smallpox

Smallpox is a severe contagious disease caused by the Variola major virus, a double-stranded DNA member of the Poxviridae family.Variola major transmission occurs primarily via inhalation of virus-laden droplets or direct contact with infectious scabs. The incubation period averages approximately seven days, although it may range from 7 to 17 days depending on the inoculum and host factors.Clinically, the prodromal phase is marked by an abrupt onset of high fever, malaise, headache, and myalgia.
Chickenpox01:20

Chickenpox

Chickenpox is an acute, highly contagious disease caused by the varicella-zoster virus (VZV), a double-stranded DNA virus belonging to the Herpesviridae family. Its transmission occurs primarily through the inhalation of respiratory droplets or direct contact with vesicular fluid from skin lesions. The incubation period typically ranges from 10 to 21 days, during which the virus replicates and disseminates through sequential phases within the host. Although generally self-limiting in children,...
Genital Herpes01:23

Genital Herpes

Genital herpes is a sexually transmitted infection primarily caused by herpes simplex virus type 2 (HSV-2), though herpes simplex virus type 1 (HSV-1) is increasingly implicated in genital infections, particularly among younger populations. Transmission occurs mainly through sexual contact, with asymptomatic viral shedding serving as a major route of spread. This characteristic makes HSV-2 difficult to control at a population level, as individuals may unknowingly transmit the virus even in the...