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The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
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Related Experiment Video

Updated: Mar 27, 2026

Author Spotlight: Non-Surgical Treatment of Melasma– Microneedling with Tranexamic Acid
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Multimodal Approach for Recalcitrant Melasma Using Picosecond Laser and Topical JAK Inhibition: A Case Report.

Hasan Ashkanani1, Maryam AlZaabi2, Abdulaziz AlRasheed3

  • 1Department of Dermatology, Al-Amiri Hospital, Kuwait City, Kuwait.

Journal of Cosmetic Dermatology
|March 26, 2026
PubMed
Summary

A novel combination therapy involving picosecond laser, topical JAK inhibitors, and visible light protection effectively treated recalcitrant melasma, achieving significant and lasting skin clearance without adverse effects.

Area of Science:

  • Dermatology
  • Medical Aesthetics
  • Pharmacology

Background:

  • Melasma is a chronic hyperpigmentation disorder common in Fitzpatrick skin types III-V, characterized by high recurrence rates.
Keywords:
LASERMelasmahyper‐pigmentation

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  • Inflammation and visible light exposure are key factors contributing to melasma persistence.
  • Existing treatments often provide only temporary relief for recalcitrant cases.