Abstract
The changes in pigmentation during pregnancy are mostly physiological; and bioactive molecules released from estrogen, progesterone and placenta are known
to play a role in this process. The increase in pigmentation progresses during pregnancy, but it is expected that the skin will return to its original appearance after
pregnancy.1,2 Melasma (chloasma or the mask of pregnancy) describes gray-brown hypermelanosis on the face and rarely on the neck and forearms, which are well-circumscribed, symmetrical and tend to unite. It has been reported in more than half of pregnant women. Pigmentation changes rarely reach pathological dimensions and cause cosmetic problems. Due to being a cosmetic problem, it can lead to emotional changes. Maxillary melasma constitutes one-fifth of all types of melasma.1,2 A 25-year-old woman in her 39th week of pregnancy presented with complaint of discoloration on her face. It was learned that she had her first pregnancy in her medical history and she has received vitamin D and iron replacement. Her examination revealed severe maxillary melasma (Figure 1). There was no additional complaints and features in her mdical history and in family medical history. Laboratory tests and other health check ups were normal. Sun protection was recommended. Control examination after the pregnancy was suggested.
Declarations
Animal and Human Rights Statement
All procedures performed in this study were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Data Availability
The datasets used and/or analyzed during the current study are not publicly available due to patient privacy reasons but are available from the corresponding author on reasonable request.
Conflict of Interest
The authors declare that there is no conflict of interest.
Funding
None.
References
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- Bilaç C, Şahin MT, Öztürkcan S. Melazmada güncel tedavi yaklaşımları. Bezmialem Science. 2018;6:54-62.
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About This Article
How to Cite This Article
Gülşah Öztürk, Onur Öztürk. Severe melasma image presentation. J Clin Anal Med 2019;10(4). doi:10.4328/ACAM.6019
Publication History
- Received:
- 12.09.2018
- Accepted:
- 01.10.2018
- Published Online:
- 02.10.2018
- Printed:
- 01.07.2019