Characteristics of facial melasma on Javanese women in Yogyakarta, Indonesia
DOI:
https://doi.org/10.66344/jpad.28.3.2018.1147Keywords:
Melasma, melasma type, MASI, sun exposure, family historyAbstract
Objective To understand the clinical characteristics of melasma in Javanese women. Methods We used a cross-sectional study design, conducting a clinical examination and collecting questionnaires from93 Javanese women with melasma. Results Among 93 patients, centrofacial melasma was more prevalent than maxillary melasma (55.9% vs. 44.1%). We found no mandibular melasma. Most cases were categorized as mild rather than moderate degree using the Melasma Area Severity Index (60.2%:39.8%), and most of these were found in women aged at least 40 years (55.9%). Family history (58.1%) and sun exposure exceeding 1 hour (61.3%) were among the factors contributing to melasma development. Conclusion Characteristics of melasma in Javanese women are centrofacial type, mild severity and most common in those who are at least 40 year old with sun exposure and have a family history.ÂReferences
Achar A, Rathi SK. Melasma: A clinicoepidemiological study of 312 cases. Indian J Dermatol. 2011;56:380-2.
Jiang J, Akinseye O, Tovar-Garza A, Pandya AG. The effect of melasma on self-esteem: A pilot study. Int J Womens Dermatol. 2017;4:38-42.
Sarkar R, Arora P, Garg VK, Sonthalia S, Gokhale N. Melasma update. Indian Dermatol Online J. 2014;5:426-35.
Damevska K. New Aspects of Melasma/ Novi aspektimelazme. Serbian J Dermatol. Venereol. 2014;6:5-18.
Tamega Ade A, Miot LD, Bonfietti C, Gige TC, Marques ME, Miot HA. Clinical patterns and epidemiological characteristics of facial melasma in Brazilian women: Clinical patterns and epidemiology of melasma. J Eur Acad Dermatol Venereol. 2013;27:151-6.
Guinot C, Cheffai S, Latreille J, Dhaoui M, Youssef S, Jaber K et al. Aggravating factors for melasma: a prospective study in 197 Tunisian patients. J Eur Acad Dermatol Venereol. 2010;24:1060-9.
Trivedi MK, Yang FC, Cho BK. A review of laser and light therapy in melasma. Int J Womens Dermatol. 2017;3:11-20.
Majid I, Haq I, Imran S, Keen A, Aziz K, Arif T. Proposing melasma severity index: A new, more practical, office-based scoring system for assessing the severity of melasma. Indian J Dermatol. 2016;61:39-44.
Pandya A, Berneburg M, Ortonne J-P, Picardo M. Guidelines for clinical trials in melasma. Pigmentation Disorders Academy. Br J Dermatol. 2006;156 Suppl 1:21-8.
Tay EY, Gan EY, Tan VW, Lin Z, Liang Y, Lin F et al. Pilot study of an automated method to determine Melasma Area and Severity Index. Br J Dermatol. 2015;172:1535-40.
Gunathilake R, Schurer NY, Shoo BA, Celli A, Hachem J-P, Crumrine D et al. pH-Regulated Mechanisms Account for Pigment-Type Differences in Epidermal Barrier Function. J Invest Dermatol. 2009;129:1719-29.
Lee A-Y. Recent progress in melasma pathogenesis. Pigment Cell Melanoma Res. 2015;28:648-60.
Lee A-Y. An updated review of melasma pathogenesis. Dermatol Sin. 2014;32:233-9.
Ortonne J, Arellano I, Berneburg M, Cestari T, Chan H, Grimes P et al. A global survey of the role of ultraviolet radiation and hormonal influences in the development of melasma. J Eur Acad Dermatol Venereol. 2009;23:1254-62.
Halder S, Halder A, Nag SC, Rajesh D, Sarkar P. Melasma in the people of Sub-Himalayan region of Eastern India. J Pak Assoc Dermatol. 2016;23:139-42.
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;40:455-8.
Moin A, Jabery Z, Fallah N. Prevalence and awareness of melasma during pregnancy. Int J Dermatol. 2016;45:285-8.
Al-Hamdi KI, Hasony HJ, Jareh HI. Melasma in Basrah : A Clinical and Epidemiological study. Med J Basrah Univ. 2008;26(1):1-5.
Shah SK, Alexis AF, editors. Cosmetic Dermatology for Skin of Color. Philadelphia: McGraw-Hill; 2009. p.1-11.
Rouzaud F, Kadekaro AL, Abdel-Malek ZA, Hearing VJ. MC1R and the response of melanocytes to ultraviolet radiation. Mutat Res Mol Mech Mutagen. 2005;571:133-52.
Alaluf S, Barrett K, Blount M, Carter N. Ethnic variation in tyrosinase and TYRP1 expression in photoexposed and photoprotected human skin. Pigment Cell Res. 2003;16:35-42.
Rees JL. The genetics of sun sensitivity in humans. Am J Hum Genet. 2004;75:739-51.
Katsambas A, Antoniou CH. Melasma. Classification and treatment. J Eur Acad Dermatol Venereol. 1995;4:217-23.
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