Frequency of serum zinc deficiency in diagnosed patients with melasma

Authors

  • Sadaf Shaheen Department of Dermatology, King Edward Medical University/ Mayo Hospital Lahore
  • Zahra Arooba Department of Dermatology, King Edward Medical University/ Mayo Hospital Lahore
  • Mah-e-Neema Asghar Department of Dermatology, King Edward Medical University/ Mayo Hospital Lahore
  • Shahbaz Aman Department of Dermatology, King Edward Medical University/ Mayo Hospital Lahore
  • Tahir Jamil Ahmad Department of Dermatology, King Edward Medical University/ Mayo Hospital Lahore

Keywords:

Melasma, Serum zinc level, zinc deficiency

Abstract

Objective Melasma is a commonly acquired hyperpigmentation of sun exposed areas of skin especially on face. Zinc is a trace element that is essential for numerous enzymatic processes. The objective of the study is to find serum zinc deficiency in diagnosed patients of melasma.   Methods This cross sectional study was carried out at department of dermatology, Mayo hospital Lahore from July 7, 2018 till Jan 7, 2019. A total of 150 diagnosed cases of melasma were included. Samples of venous blood were taken and analysed for serum zinc levels. Zinc level was labeled low if it was below cut off value of 100ug /dL.   Results Of 150 cases, 118 (78.7%) were females and 32(21.3%) were males, with mean age of patients being 29.77±5.96 years. A total of 67 (44.7%) cases had epidermal, 61 (40.7%) had dermal and 22 (14.7%) had mixed type of melasma. A total of 53 (35.3%) cases had mild, 64 (42.7%) cases had moderate and 33 (22%) cases had severe melasma. Zinc deficiency was found in 65 (43.3%) cases while 85 (56.7%) cases had normal zinc levels.   Conclusion Zinc supplementation can be recommended in conventional treatment of melasma to obtain maximum outcome.  

References

Qazi I, Dogra NK, Dogra D. Serum Iron profile in Female patients of Melasma: Acasecontrolstudy.AsianPacJHealthSci2017;4(2):141-6.

Amin N, MashhoodAA, Bilal A. Associationof epidermal melasma with skinphenotypesandothercontributingfactors.JPakAssocDermatol2017;26(3):188-92.

Bagherani N, Smoller BR. An overview of zinc and its importance in dermatology-PartII: Theassociationofzincwithsomedermatologicdisorders.GlobDermatol2016;3(5):337-50.

RostamiMM,IranparvarAlamdariM,MalekiN,AghabalaeiDaneshM.Evaluation of the serum zinc level in adult patients with melasma: Is there a relationshipwithserumzincdeficiencyandmelasma?2018;17(3):417-22.

Achar A, Rathi SK. Melasma: a clinico-epidemiological study of 312 cases. Indian J Dermatol. 2011 ;56(4):380-2.

Majid I, Aleem S. Melasma: Update on Epidemiology, Clinical Presentation, Assessment, and Scoring. Journal of Skin and Stem Cell. 2021 Dec 31;8(4).

Abdalla MA. Melasma Clinical Features, Diagnosis, Epidemiology and Etiology: An Update Review. Siriraj Medical Journal. 2021 Dec 1;73(12):841-50.

Wu MX, Antony R, Mayrovitz HN. Melasma: a condition of Asian skin. Cureus. 202110;13(4):e14398. doi: 10.7759/cureus.14398.

Babbush KM, Babbush RA, Khachemoune A. Treatment of melasma: a review of less commonly used antioxidants. International Journal of Dermatology. 2021 Feb;60(2):166-73.

Sekarnesia IS, Sitohang IB, Agustin T, Wisnu W, Hoemardani AS. A comparison of serum zinc levels in melasma and non-melasma patients: a preliminary study of thyroid dysfunction. Acta Dermatovenerol Alp Pannonica Adriat. 2020;29(2):59-62.

Downloads

Published

2023-10-12

How to Cite

1.
Shaheen S, Arooba Z, Asghar M- e-N, Aman S, Ahmad TJ. Frequency of serum zinc deficiency in diagnosed patients with melasma. J Pak Assoc Dermatol [Internet]. 2023Oct.12 [cited 2024Dec.4];33(4):1442-5. Available from: https://www.jpad.com.pk/index.php/jpad/article/view/2536

Issue

Section

Original Articles

Most read articles by the same author(s)

1 2 3 4 5 6 7 8 > >>