Lactic Acid as a New Therapeutic Peeling Agent in Melasma

Gazelle Eye like Facial Melanosis (Clinico-Histopathological Study)

“…Gazelle eye like facial melanosis although is not un common pigmentory problems among Iraqi population but unfortunately often confused and mixed up either with melasma especially dermal type [1][2][3][4][5][6][7][8][9][10][11][12][13] or with frictional melanosis [13][14][15].…”

“…The skin is darkly pigmented thickened In addition there is not uncommon facial pigmentation that is locally known as Gazelle eye like facial melanosis that is commonly encountered in clinical practice but often misdiagnosed and commonly confused with melasma and does not respond to ordinary therapy options for melasma [1][2][3]6,[8][9][10][11][12][13][14].…”

“…Facial melanosis is a major cosmetic problem among people especially in people dark complexion [1,2], and from daily clinical practice we can categorize the commonest causes of facial melanosis as follow [1][2][3]: 1-Melasma: It is probably the commonest cause of facial pigmentation and it has a characteristic light to dark brown color with stuck up on appearance [1][2][3][4][5][6][7][8]. It could be defined as chronic disfiguring dermatological disease of females and males ,although much more common among females that appear during the active reproductive period with the presence of provoking factors like hormonal changes and sunlight that induce brown hyperpigmentation of the face .This may take many shapes but much more commonly a butterfly and a mask appearance [6][7][8][9][10][11][12][13].…”

“…It could be defined as chronic disfiguring dermatological disease of females and males ,although much more common among females that appear during the active reproductive period with the presence of provoking factors like hormonal changes and sunlight that induce brown hyperpigmentation of the face .This may take many shapes but much more commonly a butterfly and a mask appearance [6][7][8][9][10][11][12][13].…”

“…The management of this type of facial pigmentation is often very difficult as all bleaching agents might give only temporary relieving effects [1][2][3][6][7][8][9][10][11][12][13][14]16]. Accordingly, we suggest doing deep dermabrasion as an effective mode of therapy for this condition similar to the dermabrasion that could be carried out for dermal melasma which is resistant to the standard treatments [29].…”