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Hyperpigmentation

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32: 142: 66: 263:' or the “mask of pregnancy,” when it occurs in pregnant women.— It is a common skin problem that causes dark discolored patchy hyperpigmentation. It typically occurs on the face and is symmetrical, with matching marks on both sides of the face. The condition is much more common in women than men, though men can get it too. According to the 511:
plus vitamins A, C, and E also shows promise as safe and effective for epidermal melasma. In an 8-week randomized, double-blind, placebo-controlled trial in 56 Filipino women, treatment was associated with significant improvements in the left and right malar regions, and was safe and well tolerated.
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As the body ages, melanocyte distribution becomes less diffuse and its regulation less controlled by the body. UV light stimulates melanocyte activity, and where concentration of the cells is greater, hyperpigmentation occurs. Another form of hyperpigmentation is post-inflammatory hyperpigmentation.
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Kim, Young Jae; Suh, Hyun Yi; Choi, Myoung Eun; Jung, Chang Jin; Chang, Sung Eun (2020-04-17). "Clinical improvement of photoaging-associated facial hyperpigmentation in Korean skin with a picosecond 1064-nm neodymium-doped yttrium aluminum garnet laser".
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Most often treatment of hyperpigmentation caused by melanin overproduction (such as melasma, acne scarring, liver spots) includes the use of topical depigmenting agents, which vary in their efficacy and safety, as well as in prescription rules.
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Hakozaki, T.; Minwalla, L.; Zhuang, J.; Chhoa, M.; Matsubara, A.; Miyamoto, K.; Greatens, A.; Hillebrand, G.G.; Bissett, D.L. (2002-07-01). "The effect of niacinamide on reducing cutaneous pigmentation and suppression of melanosome transfer".
495:. Hydroquinone was the most commonly prescribed hyperpigmentation treatment before the long-term safety concerns were raised, and the use of it became more regulated in several countries and discouraged in general by 1567: 1555: 1161:
Mansouri, P.; Farshi, S.; Hashemi, Z.; Kasraee, B. (2015-07-01). "Evaluation of the efficacy of cysteamine 5% cream in the treatment of epidermal melasma: a randomized double-blind placebo-controlled trial".
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Many forms of hyperpigmentation are caused by an excess production of melanin. Hyperpigmentation can be diffuse or focal, affecting such areas as the face and the back of the hands. Melanin is produced by
173:. Melanin is a class of pigment responsible for producing color in the body in places such as the eyes, skin, and hair. The process of melanin synthesis (melanogenesis) starts with the oxidation of 1300:
Hyrdoquinone Guidance published under the joint sponsorship of the United Nations Environment Programme, the International Labour Organisation, and the World Health Organization
1331: 1404: 1106:"Effects of Topical Retinoids on Acne and Post-inflammatory Hyperpigmentation in Patients with Skin of Color: A Clinical Review and Implications for Practice" 761: 2085: 499:. For the US, only 2% is at present sold over-the-counter, and 4% needs prescription. In the EU hydroquinone was banned from cosmetic applications. 2294: 2019: 1632: 1946: 2014: 149:(rooster shown) chicken breed is due to hyperpigmentation, with the bird's feathers, skin, beak and internal organs all being affected. 901: 1213: 2290: 925:
Mazurek, Klaudia; Pierzchała, Ewa (2016-09-01). "Comparison of efficacy of products containing azelaic acid in melasma treatment".
2029: 2009: 2004: 1357:"A randomized, double-blind, placebo-controlled trial of oral procyanidin with Vitamins A, C, E for melasma among Filipino women" 366:—particularly cases of cutaneous exposure resulting from the topical application of mercurial ointments or skin-whitening creams. 2401: 2206: 1104:
Callender, Valerie D.; Baldwin, Hilary; Cook-Bolden, Fran E.; Alexis, Andrew F.; Stein Gold, Linda; Guenin, Eric (2021-11-09).
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There are a wide range of depigmenting treatments used for hyperpigmentation conditions, and responses to most are variable.
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Monteiro, Rochelle C.; Kishore, B. Nanda; Bhat, Ramesh M.; Sukumar, D.; Martis, Jacintha; Ganesh, H. Kamath (2013-03-01).
643:"Hydroquinone therapy for post-inflammatory hyperpigmentation secondary to acne: not just prescribable by dermatologists" 2226: 2146: 2472: 1931: 1875: 1315: 978:"A Comparative Study of the Efficacy of 4% Hydroquinone vs 0.75% Kojic Acid Cream in the Treatment of Facial Melasma" 625: 105: 863:
Gupta, AK; Gover, MD; Nouri, K; Taylor, S (December 2006). "The treatment of melasma: a review of clinical trials".
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Other treatments that do not involve topical agents are also available, including fraction lasers and dermabrasion.
1865: 1412: 769: 2349: 2105: 1618: 264: 1812: 2211: 2122: 1941: 1860: 731: 222: 2311: 2270: 2216: 1807: 333: 2178: 762:"Schimke immunoosseous dysplasia | Genetic and Rare Diseases Information Center (GARD) – an NCATS Program" 161:. People with darker skin tones are more prone to hyperpigmentation, especially with excess sun exposure. 2265: 567: 232: 2285: 1951: 290: 2127: 2075: 1832: 1827: 537: 496: 2080: 1582: 792:"Cutaneous lesions and vitamin B12 deficiency: An often-forgotten link, Rajendran Kannan, MB BS MD" 528:
have been used to treat hyperpigmentation such as melasma and post-inflammatory hyperpigmentation.
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Hyperpigmentation is associated with a number of diseases or conditions, including the following:
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These are dark and discoloured spots that appear on the skin following acne that has healed.
2304: 2196: 1735: 457: 374: 369: 242: 228: 214: 184: 83: 2132: 8: 1926: 1571: 1221: 525: 356:—a common but debilitating genetic disorder characterized by the chronic accumulation of 236: 1691: 2173: 2100: 1905: 1900: 1817: 1787: 1513: 1486: 1467: 1386: 1281: 1195: 1138: 1105: 1079: 1061: 1012: 977: 958: 808: 791: 379: 294: 250: 1576: 2339: 2275: 1822: 1593: 1518: 1471: 1459: 1451: 1378: 1373: 1356: 1311: 1273: 1265: 1260: 1243: 1187: 1179: 1143: 1125: 1053: 1049: 1017: 999: 950: 942: 880: 840: 813: 708: 664: 621: 597: 401: 363: 39: 1610: 1390: 1285: 1199: 1065: 962: 591: 2090: 1653: 1508: 1498: 1443: 1368: 1303: 1255: 1171: 1133: 1117: 1045: 1007: 989: 934: 872: 803: 698: 654: 542: 353: 302: 456:
Many topical treatments disrupt the synthesis of melanin by inhibiting the enzyme
2432: 2152: 2110: 2095: 2065: 2039: 1936: 1782: 1587: 432: 328: 31: 703: 235:(ACTH) production, because MSH production is a byproduct of ACTH synthesis from 2451: 2444: 2422: 2344: 1910: 1850: 1740: 1598: 1447: 1121: 876: 832: 425: 409: 395: 357: 309: 246: 126: 1097: 2466: 2370: 2299: 2260: 1855: 1455: 1269: 1183: 1129: 1003: 994: 946: 712: 484: 270: 188: 158: 1503: 2137: 2061: 1522: 1463: 1405:"Laser Skin Whitening - Advantages and Disadvantages | Skin Whitening News" 1382: 1277: 1191: 1147: 1057: 1021: 954: 884: 844: 817: 668: 468: 464: 463:
Several are prescription only in the US, especially in high doses, such as
388: 154: 659: 642: 2427: 2365: 1487:"Lasers for Treatment of Melasma and Post-Inflammatory Hyperpigmentation" 508: 476: 276: 166: 146: 44: 1547: 1485:
Arora, Pooja; Sarkar, Rashmi; Garg, Vijay K; Arya, Latika (2022-01-27).
2417: 2388: 2334: 2070: 1889: 1797: 1730: 1669: 1645: 1307: 938: 472: 195: 122: 1175: 1979: 1760: 488: 338: 317: 313: 284: 170: 1984: 1769: 1678: 347: 260: 2329: 2201: 2117: 2057: 1974: 1755: 1658: 1214:"Cysteamine Cream® -- New Hyper Intensive Depigmenting Treatment" 1103: 592:
Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007).
298: 280: 256: 130: 2439: 1559: 1426: 1244:"Skin lightening preparations and the hydroquinone controversy" 178: 141: 1478: 221:, in which hormones that stimulate melanin synthesis, such as 16:
Darkening of an area of skin or nails due to increased melanin
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James, William; Berger, Timothy; Elston, Dirk (2005).
1640: 1116:(1). Springer Science and Business Media LLC: 69–81. 862: 267:, 90 percent of people who develop melasma are women. 157:, or other skin injuries, including those related to 1537: 1332:"Hydroquinone - Substance evaluation - CoRAP - ECHA" 1484: 735:
Hyperpigmentation, Dark Spots, Acne Scars, Meladerm
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Andrews' Diseases of the Skin: Clinical Dermatology
475:. Some are available without prescription, such as 2086:Inherited patterned lentiginosis in black persons 924: 831:Lawrence, Elizabeth; Al Aboud, Khalid M. (2022), 641:Chandra, M; Levitt, J; Pensabene, CA (May 2012). 301:on the lips and oral mucosa and gastrointestinal 2464: 2295:Eczematid-like purpura of Doucas and Kapetanakis 830: 839:, Treasure Island (FL): StatPearls Publishing, 687:"Potent whitening effects of rutin metabolites" 153:Hyperpigmentation can be caused by sun damage, 1432: 865:Journal of the American Academy of Dermatology 408:Hyperpigmentation can sometimes be induced by 1947:Yemenite deaf-blind hypopigmentation syndrome 1626: 636: 634: 574:. American Osteopathic College of Dermatology 856: 2015:Reticular pigmented anomaly of the flexures 1633: 1619: 1491:Journal of Cutaneous and Aesthetic Surgery 631: 205: 145:The distinctive solid black colour of the 30: 1512: 1502: 1372: 1259: 1137: 1011: 993: 807: 702: 685:Kim, Ji Hye; Kang, Nam Joo (2015-07-14). 658: 297:disorder characterized by hyperpigmented 273:from post-inflammatory hyperpigmentation. 106:Learn how and when to remove this message 2291:Doucas and Kapetanakis pigmented purpura 2020:Naegeli–Franceschetti–Jadassohn syndrome 1110:American Journal of Clinical Dermatology 1080:"Spotlight On: Niacinamide - FutureDerm" 789: 140: 2030:X-linked reticulate pigmentary disorder 2010:Reticulate acropigmentation of Kitamura 2005:Pigmentatio reticularis faciei et colli 1241: 750:. American Academy of Dermatology, Inc. 732:Hyperpigmentation on Face (Acne Scars) 684: 585: 384:Schimke immunoosseous dysplasia (SOID). 2465: 2402:Dyschromatosis universalis hereditaria 2207:Familial progressive hyperpigmentation 1354: 610: 308:Exposure to certain chemicals such as 2397:Dyschromatosis symmetrica hereditaria 2232:Transient neonatal pustular melanosis 1614: 896: 894: 451: 2222:Photoleukomelanodermatitis of Kobori 2000:Dermatopathia pigmentosa reticularis 1361:International Journal of Dermatology 833:"Postinflammatory Hyperpigmentation" 279:—a hyperpigmented line found on the 59: 1302:. World Health Organization. 1994. 691:Korean Journal of Food Preservation 515: 13: 2227:Postinflammatory hyperpigmentation 2147:Poikiloderma vasculare atrophicans 1164:The British Journal of Dermatology 891: 14: 2494: 1932:Postinflammatory hypopigmentation 1876:Progressive macular hypomelanosis 1533: 1355:Handog, Evangeline (2009-07-20). 1242:Draelos, Zoe Diana (2007-09-01). 1866:Idiopathic guttate hypomelanosis 1374:10.1111/j.1365-4632.2009.04130.x 1261:10.1111/j.1529-8019.2007.00144.x 1050:10.1046/j.1365-2133.2002.04834.x 64: 2350:Titanium metallic discoloration 2106:Partial unilateral lentiginosis 1397: 1348: 1324: 1292: 1235: 1206: 1154: 1072: 1028: 969: 927:Journal of Cosmetic Dermatology 918: 824: 265:American Academy of Dermatology 225:(MSH), are frequently elevated. 121:is the darkening of an area of 2123:Erythema dyschromicum perstans 1038:British Journal of Dermatology 790:Kannan, R.; Ng, M. J. (2008). 783: 754: 740: 725: 560: 223:melanocyte-stimulating hormone 1: 2312:Hemosiderin hyperpigmentation 2271:Pigmented purpuric dermatosis 2217:Periorbital hyperpigmentation 1713:Vogt–Koyanagi–Harada syndrome 982:Indian Journal of Dermatology 572:Dermatalogic Disease Database 553: 2179:Shiitake mushroom dermatitis 1411:. 2014-04-05. Archived from 439: 418: 404:as a result of inflammation. 7: 2266:Iron metallic discoloration 1942:Vagabond's leukomelanoderma 704:10.11002/kjfp.2015.22.4.607 531: 424:Skin examination including 233:adrenocorticotropic hormone 10: 2499: 2212:Pallister–Killian syndrome 1861:Albinism–deafness syndrome 1448:10.1007/s10103-020-03008-z 1122:10.1007/s40257-021-00643-2 877:10.1016/j.jaad.2006.02.009 346:fungal infections such as 169:at the lower layer of the 2410: 2387: 2358: 2320: 2253: 2244: 2187: 2161: 2128:Lichen planus pigmentosus 2076:Centrofacial lentiginosis 2048: 1992: 1973: 1964: 1919: 1888: 1843: 1833:Griscelli syndrome type 3 1828:Griscelli syndrome type 2 1808:Hermansky–Pudlak syndrome 1796: 1768: 1753: 1721: 1700: 1677: 1666: 1652: 1541: 1436:Lasers in Medical Science 796:Canadian Family Physician 766:rarediseases.info.nih.gov 647:Acta Dermato-Venerologica 594:Dermatology: 2-Volume Set 538:Drug-induced pigmentation 334:Cronkhite–Canada syndrome 136: 50: 38: 29: 24: 2473:Dermatologic terminology 2081:Generalized lentiginosis 1813:ChĂ©diak–Higashi syndrome 995:10.4103/0019-5154.108070 620:. (10th ed.). Saunders. 493:cysteamine hydrochloride 78:may need to be rewritten 2142:Poikiloderma of Civatte 1778:Oculocutaneous albinism 1504:10.4103/0974-2077.99436 548:List of skin conditions 502: 206:Diseases and conditions 198:, which forms melanin. 2286:Gougerot–Blum syndrome 2169:Incontinentia pigmenti 2025:Dyskeratosis congenita 1952:Wende–Bauckus syndrome 1871:Phylloid hypomelanosis 1642:Pigmentation disorders 291:Peutz–Jeghers syndrome 249:areas associated with 245:—hyperpigmentation of 150: 1708:Alezzandrini syndrome 1687:Quadrichrome vitiligo 1409:skinwhiteningnews.org 660:10.2340/00015555-1225 507:Oral medication with 219:adrenal insufficiency 217:and other sources of 144: 2305:Angioma serpiginosum 2197:Acanthosis nigricans 1736:Waardenburg syndrome 1248:Dermatologic Therapy 596:. St. Louis: Mosby. 526:intense pulsed light 487:, retinoids such as 458:tyrosine hydroxylase 370:Aromatase deficiency 243:Acanthosis nigricans 185:tyrosine hydroxylase 129:caused by increased 2035:Galli–Galli disease 1927:Nevus depigmentosus 568:"Hyperpigmentation" 520:Laser toning using 237:proopiomelanocortin 231:or other excessive 2281:Majocchi's disease 2174:Scratch dermatitis 2101:Mucosal lentigines 1901:Vasospastic macule 1818:Griscelli syndrome 939:10.1111/jocd.12217 452:Topical treatments 324:Smoker's melanosis 295:autosomal dominant 251:insulin resistance 151: 2460: 2459: 2383: 2382: 2379: 2378: 2340:Arsenic poisoning 2276:Schamberg disease 2240: 2239: 2133:CafĂ© au lait spot 1960: 1959: 1884: 1883: 1823:Elejalde syndrome 1749: 1748: 1608: 1607: 1176:10.1111/bjd.13424 603:978-1-4160-2999-1 402:Atopic dermatitis 375:Nelson's syndrome 364:Mercury poisoning 259:, also known as ' 229:Cushing's disease 215:Addison's disease 119:Hyperpigmentation 116: 115: 108: 88:lead layout guide 58: 57: 25:Hyperpigmentation 19:Medical condition 2490: 2251: 2250: 2091:Ink spot lentigo 1990: 1989: 1971: 1970: 1766: 1765: 1692:Vitiligo ponctuĂ© 1675: 1674: 1664: 1663: 1635: 1628: 1621: 1612: 1611: 1539: 1538: 1527: 1526: 1516: 1506: 1482: 1476: 1475: 1430: 1424: 1423: 1421: 1420: 1401: 1395: 1394: 1376: 1352: 1346: 1345: 1343: 1342: 1328: 1322: 1321: 1296: 1290: 1289: 1263: 1239: 1233: 1232: 1230: 1229: 1220:. 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Archived from 758: 752: 751: 744: 738: 729: 723: 722: 720: 719: 706: 682: 673: 672: 662: 638: 629: 614: 608: 607: 589: 583: 582: 580: 579: 564: 543:Hypopigmentation 516:Laser treatments 482: 354:Haemochromatosis 191: 181: 176: 111: 104: 100: 97: 91: 84:improve the lead 68: 67: 60: 34: 22: 21: 2498: 2497: 2493: 2492: 2491: 2489: 2488: 2487: 2463: 2462: 2461: 2456: 2406: 2375: 2354: 2322: 2316: 2261:Hemochromatosis 2246: 2236: 2189: 2183: 2157: 2153:Riehl melanosis 2111:PUVA lentigines 2096:Lentigo maligna 2066:Lentigo simplex 2050: 2044: 2040:Revesz syndrome 1983: 1978: 1956: 1937:Pityriasis alba 1915: 1906:Woronoff's ring 1893: 1880: 1839: 1800: 1792: 1783:Ocular albinism 1759: 1745: 1723: 1717: 1696: 1668: 1657: 1648: 1639: 1609: 1604: 1603: 1550: 1536: 1531: 1530: 1483: 1479: 1431: 1427: 1418: 1416: 1403: 1402: 1398: 1353: 1349: 1340: 1338: 1330: 1329: 1325: 1318: 1298: 1297: 1293: 1240: 1236: 1227: 1225: 1218:Scientis Pharma 1212: 1211: 1207: 1159: 1155: 1102: 1098: 1089: 1087: 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1425: 1396: 1367:(8): 896–901. 1347: 1336:echa.europa.eu 1323: 1316: 1291: 1254:(5): 308–313. 1234: 1205: 1170:(1): 209–217. 1153: 1096: 1071: 1027: 968: 933:(3): 269–282. 917: 890: 871:(6): 1048–65. 855: 823: 802:(4): 529–532. 782: 753: 739: 724: 697:(4): 607–612. 674: 630: 609: 602: 584: 558: 557: 555: 552: 551: 550: 545: 540: 533: 530: 517: 514: 504: 501: 453: 450: 441: 438: 437: 436: 429: 420: 417: 410:dermatological 406: 405: 399: 396:B12 deficiency 392: 385: 382: 377: 372: 367: 361: 351: 341: 336: 331: 326: 321: 310:salicylic acid 306: 288: 274: 268: 254: 247:intertriginous 240: 226: 207: 204: 183:by the enzyme 138: 135: 114: 113: 73:The article's 72: 70: 63: 56: 55: 52: 48: 47: 42: 36: 35: 27: 26: 18: 15: 9: 6: 4: 3: 2: 2495: 2484: 2481: 2479: 2478:Medical signs 2476: 2474: 2471: 2470: 2468: 2453: 2450: 2446: 2443: 2442: 2441: 2438: 2434: 2431: 2430: 2429: 2426: 2424: 2421: 2419: 2416: 2415: 2413: 2409: 2403: 2400: 2398: 2395: 2394: 2392: 2390: 2386: 2372: 2371:Tar melanosis 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1909: 1907: 1904: 1902: 1899: 1898: 1896: 1894:hypomelanosis 1891: 1887: 1877: 1874: 1872: 1869: 1867: 1864: 1862: 1859: 1857: 1856:ABCD syndrome 1854: 1852: 1849: 1848: 1846: 1842: 1834: 1831: 1829: 1826: 1824: 1821: 1820: 1819: 1816: 1814: 1811: 1809: 1806: 1805: 1803: 1799: 1795: 1789: 1786: 1784: 1781: 1779: 1776: 1775: 1773: 1771: 1767: 1764: 1762: 1757: 1752: 1742: 1739: 1737: 1734: 1732: 1729: 1728: 1726: 1720: 1714: 1711: 1709: 1706: 1705: 1703: 1699: 1693: 1690: 1688: 1685: 1684: 1682: 1680: 1676: 1673: 1671: 1665: 1662: 1660: 1655: 1651: 1647: 1643: 1636: 1631: 1629: 1624: 1622: 1617: 1616: 1613: 1600: 1596: 1595: 1591: 1589: 1585: 1584: 1580: 1578: 1574: 1573: 1569: 1565: 1563:: L81.0-L81.4 1562: 1561: 1557: 1553: 1552: 1549: 1544: 1540: 1524: 1520: 1515: 1510: 1505: 1500: 1497:(2): 93–103. 1496: 1492: 1488: 1481: 1473: 1469: 1465: 1461: 1457: 1453: 1449: 1445: 1441: 1437: 1429: 1415:on 2021-09-19 1414: 1410: 1406: 1400: 1392: 1388: 1384: 1380: 1375: 1370: 1366: 1362: 1358: 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461: 459: 449: 445: 434: 430: 427: 423: 422: 416: 414: 411: 403: 400: 397: 393: 390: 386: 383: 381: 378: 376: 373: 371: 368: 365: 362: 359: 355: 352: 349: 345: 342: 340: 337: 335: 332: 330: 327: 325: 322: 319: 315: 311: 307: 304: 300: 296: 292: 289: 286: 282: 278: 275: 272: 269: 266: 262: 258: 255: 252: 248: 244: 241: 238: 234: 230: 227: 224: 220: 216: 213: 212: 211: 203: 199: 197: 193: 186: 182: 177:-tyrosine to 172: 168: 162: 160: 159:acne vulgaris 156: 148: 143: 134: 132: 128: 124: 120: 110: 107: 99: 96:February 2024 89: 86:and read the 85: 79: 76: 71: 62: 61: 54:Melanogenesis 53: 49: 46: 43: 41: 37: 33: 28: 23: 2483:Pigmentation 2138:Poikiloderma 2062:Lentiginosis 1965: 1592: 1581: 1566: 1554: 1494: 1490: 1480: 1439: 1435: 1428: 1417:. 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Retrieved 571: 562: 519: 506: 469:azelaic acid 465:hydroquinone 462: 455: 446: 443: 428:examination. 415:procedures. 407: 389:tinea cruris 360:in the body. 209: 200: 192:-dopaquinone 163: 155:inflammation 152: 118: 117: 102: 93: 82:Please help 77: 75:lead section 2366:Carotenosis 1993:Reticulated 1724:development 1670:melanocytes 1308:10665/39218 906:www.aad.org 524:lasers and 509:procyanidin 477:niacinamide 426:Wood's lamp 277:Linea nigra 167:melanocytes 147:Ayam Cemani 45:Dermatology 2467:Categories 2418:Skin color 2389:Dyschromia 2335:Chrysiasis 2071:Liver spot 1890:Leukoderma 1798:Melanosome 1731:Piebaldism 1722:Melanocyte 1646:Dyschromia 1594:DiseasesDB 1419:2017-02-12 1341:2017-02-12 1228:2017-02-12 1090:2017-02-12 1084:FutureDerm 988:(2): 157. 911:2017-02-12 850:2022-03-27 837:StatPearls 776:2019-03-13 718:2022-03-15 578:2006-03-08 554:References 473:kojic acid 196:dopachrome 187:, then to 2190:ungrouped 1980:Melanosis 1920:Ungrouped 1788:in humans 1761:amelanism 1701:Syndromic 1472:215794622 1456:0268-8921 1270:1529-8019 1184:1365-2133 1130:1175-0561 1004:1998-3611 947:1473-2165 748:"Melasma" 713:2287-7428 489:tretinoin 440:Treatment 419:Diagnosis 339:Porphyria 318:cisplatin 314:bleomycin 285:pregnancy 171:epidermis 40:Specialty 2411:See also 2247:pigments 2049:Diffuse/ 1985:Melanism 1801:transfer 1770:Albinism 1754:Loss of 1679:Vitiligo 1523:23060704 1464:32300974 1391:28886093 1383:19659873 1286:24913995 1278:18045355 1200:21618233 1192:25251767 1148:34751927 1066:39489580 1058:12100180 1022:23716817 963:25303091 955:27028014 885:17097400 845:32644576 818:18413300 669:22002814 532:See also 431:Viewing 348:ringworm 261:chloasma 2445:removal 2433:Sunless 2428:Tanning 2330:Argyria 2202:Freckle 2118:Melasma 2058:Lentigo 1975:Melanin 1756:melanin 1667:Loss of 1659:leucism 1588:D017495 1514:3461803 1139:8776661 1013:3657227 809:2294086 394:Due to 299:macules 283:during 281:abdomen 257:Melasma 239:(POMC). 131:melanin 2440:Tattoo 2323:metals 2188:Other/ 2162:Linear 1966:Hyper- 1521:  1511:  1470:  1462:  1454:  1389:  1381:  1314:  1284:  1276:  1268:  1198:  1190:  1182:  1146:  1136:  1128:  1064:  1056:  1020:  1010:  1002:  961:  953:  945:  883:  843:  816:  806:  711:  667:  624:  600:  471:, and 316:, and 303:polyps 180:l-dopa 137:Causes 51:Causes 2359:Other 2321:Other 2245:Other 1844:Other 1654:Hypo- 1599:24638 1577:709.0 1468:S2CID 1387:S2CID 1282:S2CID 1196:S2CID 1062:S2CID 959:S2CID 491:, or 413:laser 344:Tinea 127:nails 2254:Iron 1583:MeSH 1572:9-CM 1519:PMID 1460:PMID 1452:ISSN 1379:PMID 1312:ISBN 1274:PMID 1266:ISSN 1188:PMID 1180:ISSN 1144:PMID 1126:ISSN 1054:PMID 1018:PMID 1000:ISSN 951:PMID 943:ISSN 881:PMID 841:PMID 814:PMID 709:ISSN 665:PMID 622:ISBN 598:ISBN 503:Oral 358:iron 293:—an 194:and 123:skin 1892:w/o 1568:ICD 1556:ICD 1509:PMC 1499:doi 1444:doi 1369:doi 1304:hdl 1256:doi 1172:doi 1168:173 1134:PMC 1118:doi 1046:doi 1042:147 1008:PMC 990:doi 935:doi 873:doi 804:PMC 699:doi 655:doi 522:YAG 497:WHO 125:or 2469:: 2064:: 1597:: 1586:: 1575:: 1560:10 1517:. 1507:. 1493:. 1489:. 1466:. 1458:. 1450:. 1440:35 1438:. 1407:. 1385:. 1377:. 1365:48 1363:. 1359:. 1334:. 1310:. 1280:. 1272:. 1264:. 1252:20 1250:. 1246:. 1216:. 1194:. 1186:. 1178:. 1166:. 1142:. 1132:. 1124:. 1114:23 1112:. 1108:. 1082:. 1060:. 1052:. 1040:. 1016:. 1006:. 998:. 986:58 984:. 980:. 957:. 949:. 941:. 931:15 929:. 904:. 893:^ 879:. 869:55 867:. 835:, 812:. 800:54 798:. 794:. 764:. 707:. 695:22 689:. 677:^ 663:. 651:92 649:. 645:. 633:^ 570:. 479:, 467:, 460:. 312:, 133:. 2293:/ 2149:) 2140:( 2060:/ 1982:/ 1977:/ 1758:/ 1656:/ 1644:/ 1634:e 1627:t 1620:v 1570:- 1558:- 1548:D 1525:. 1501:: 1495:5 1474:. 1446:: 1422:. 1393:. 1371:: 1344:. 1320:. 1306:: 1288:. 1258:: 1231:. 1202:. 1174:: 1150:. 1120:: 1093:. 1068:. 1048:: 1024:. 992:: 965:. 937:: 914:. 887:. 875:: 820:. 779:. 737:. 721:. 701:: 671:. 657:: 628:. 606:. 581:. 483:- 481:l 435:. 398:. 391:. 350:. 320:. 305:. 287:. 253:. 190:l 175:l 109:) 103:( 98:) 94:( 90:. 80:.

Index


Specialty
Dermatology
lead section
improve the lead
lead layout guide
Learn how and when to remove this message
skin
nails
melanin

Ayam Cemani
inflammation
acne vulgaris
melanocytes
epidermis
l-dopa
tyrosine hydroxylase
l-dopaquinone
dopachrome
Addison's disease
adrenal insufficiency
melanocyte-stimulating hormone
Cushing's disease
adrenocorticotropic hormone
proopiomelanocortin
Acanthosis nigricans
intertriginous
insulin resistance
Melasma

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