1961
DOI: 10.1001/archderm.1961.01580080114013
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A Melanosis of the Face ("Chloasma")

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1967
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Cited by 60 publications
(36 citation statements)
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“…Melasma, a common acquired brownish pigmentation occurring exclusively in the sun-exposed areas on the face, is exacerbated by pregnancy and oral contraceptives (15)(16)(17)(18)(19)(20). Sato reported a significantly high level of progesterone in the serum of Japanese patients with melasma (2).…”
Section: Discussionmentioning
confidence: 99%
“…Melasma, a common acquired brownish pigmentation occurring exclusively in the sun-exposed areas on the face, is exacerbated by pregnancy and oral contraceptives (15)(16)(17)(18)(19)(20). Sato reported a significantly high level of progesterone in the serum of Japanese patients with melasma (2).…”
Section: Discussionmentioning
confidence: 99%
“…A prominent subcutaneous and/or muscular vascular plexus will result in a violaceous hue under the eyes that does not blanch but deepens in color with manual stretching of the skin. 74 This maneuver of stretching the skin to produce deepening of the violaceous color may serve as useful diagnostic tool to confirm the vascular cause of the pigmentation. 69 Moreover, in their review on this subject, Roh and Chung 69 state that the successful use of autologous fat transplantation to reduce the appearance of hypervascularity supports the idea that it is the vasculature found within the muscle instead of the combination of thin skin and subcutaneous vascularity that plays a greater role in the appearance of these violaceous infraorbital dark circles.…”
Section: Infraorbital Dark Circles and Puffinessmentioning
confidence: 99%
“…1 Although its populational incidence is not precisely known, 2 melasma is regarded as one of the most common pigmentary disturbances in adult Korean females. 3 Sun exposure and pregnancy are suggested as the most common triggering or aggravating factors of melasma.…”
Section: Introductionmentioning
confidence: 99%
“…3 Sun exposure and pregnancy are suggested as the most common triggering or aggravating factors of melasma. [1][2][3] According to a recent study of 400 Korean women with melasma, 61.1% of melasma patients complained of sensitive/inflammatory features such as erythema, itching, and a stinging sensation, 4 which implies that melasma could be related with skin barrier disruption and/or chronic subclinical skin inflammation. Concomitant pigmentary disorders including post-inflammatory hyperpigmentation (PIH), pigmented contact dermatitis, and acquired bilateral nevus of Otalike macules are commonly associated with melasma.…”
Section: Introductionmentioning
confidence: 99%