2014
DOI: 10.1097/01.der.0000438425.56740.8a
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Hydroquinone-Induced Depigmentation

Abstract: Melasma is an acquired cutaneous disorder caused by an overproduction of melanin by the enzyme tyrosinase. Melasma remains a therapeutic challenge and no definitive standard therapy exists. Although hydroquinone (HQ) has emerged as the most common treatment, its popularity has recently waned because of concerns about its potential carcinogenicity and manufacturing challenges. The adverse effects of HQ range from the common irritant contact dermatitis to the less frequent exogenous ochronosis (EO). Previous rep… Show more

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Cited by 40 publications
(11 citation statements)
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“…Chemical peeling and laser treatment are frequently performed, but they have side effects, such as dermatitis and recurring pigmentation [16,17]. Hydroquinone is primarily used as a pharmacotherapeutic, but it can potentially cause skin irritation, allergies, mutations, and cancer [18]. In the cosmetics field, skin lightening functional cosmetics containing arbutin, niacinamide, and vitamin C derivatives dominate, but the satisfaction of consumers regarding their safety and skin lightening efficacy is low [19].…”
Section: Introductionmentioning
confidence: 99%
“…Chemical peeling and laser treatment are frequently performed, but they have side effects, such as dermatitis and recurring pigmentation [16,17]. Hydroquinone is primarily used as a pharmacotherapeutic, but it can potentially cause skin irritation, allergies, mutations, and cancer [18]. In the cosmetics field, skin lightening functional cosmetics containing arbutin, niacinamide, and vitamin C derivatives dominate, but the satisfaction of consumers regarding their safety and skin lightening efficacy is low [19].…”
Section: Introductionmentioning
confidence: 99%
“…Consequently, certain antidiabetic drugs such as voglibose [ 20 ] and acarbose [ 21 ], which are known to inhibit α-glucosidase activity, also suppress melanogenesis. The use of commercial depigmenting agents, hydroquinone (HQ), kojic acid (KA) and arbutin, has been limited since they inhibit tyrosinase in a manner that cannot be fully reversed [ 22 ] and cause deleterious effects such as erythema, contact dermatitis, genotoxicity, and carcinogenicity [ 23 , 24 ]. As the process of melanogenesis involves a multi-step pathway, compounds which can target different steps in this pathway provide an attractive target for melanogenesis inhibition.…”
Section: Introductionmentioning
confidence: 99%
“…Various approaches are available for the treatment of hyperpigmentation, such as chemical peeling, laser surgery, pharmacotherapy, and cosmetic camouflage [29][30][31], but these remain unsatisfactory. Hydroquinone is a commonly used treatment for skin pigmentation disorders that can be administered alone or in combination with other drugs, but it is associated with side effects such as irritation, allergy, and cancer [32]. Although various inhibitors of melanin synthesis are used in the cosmetic industry to control skin pigmentation, consumer satisfaction is low, and more effective skin lightening treatments are in high demand [33][34][35].…”
Section: Discussionmentioning
confidence: 99%