April 8, 2018

Melasma or Pregnancy Mask

Melasma is characterized by brown patches typically on the malar prominences and forehead.There are three clinical patterns centrofacial ,malar and mandibular.It tends to affect darker-complexioned individual.

FAQ’S

1What is the reason for this pigmentation.

2Can it be cured fully.

3How much time will it take.

4What precautions do I have to take apart from treatment.

5Is it related to pregnancy.

6Are there any precautions which I can take during pregnancy to avoid this pigmentation.

Answers

1Sunexposure is the most important reason for causing this pigmentation apart from hormonal and genetic influences.Some precipitating factors are birth control pills ,estrogen replacement therapy,mild ovarian or thyroid dysfunction,ovarian tumors,cosmetics,nutrition,phototoxic and photo allergic medications,photo toxic drugs and medications for epilepsy.

2Melasma of pregnancy clears fully within a few months after delivery.Melasma due to other reasons also do clear by the use of medicines,peeling and lasers but there are high chances of recurrence.

3It depends on the treatment you are taking.Peelings and lasers con clear it in a less time but medicines mat take a bit longer.

4Avoid sunexposure and use of sunscreens while going out in sun.

5Yes it may be related to pregnancy but there are other causes too.

6Proper hormonal assessment can be done and sunscreens should be use

   

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Ichthyosis (ick-thee-OH-sis) is a skin disease that causes extremely dry, thick, and scaly skin resembles fish scales.

These are a heterogeneous group of disorders with both inherited and acquired forms. these are the types
Ichthyosis Vulgaris- Most common type of icthyosis Lamellar Ichthyosis- Lamellar ichthyosis is characterized by dark, plate (armor)-like scale. Epidermolytic Hyperkeratosis- characterized by generalized redness and fine white scale Congenital Ichthyosiform Erythroderma- newborn infant with ichthyosis who presented at birth with collodion baby appearance. X-linked Ichthyosis- due to a defect in the enzyme steroid sulfatase, affects males with generalized scaling that usually begins soon after birth.

Ichthyosis Treatment

Several hours each day may need to be devoted the skin if ichthyosis is present in an individual. Daily, a person will need to take a shower or a bath. The skin should be exfoliated on a daily basis, and moisturised well. Moisturising ointments or creams may need to be prescribed by a dermatologist for the individual. Oral retinoids can be prescribed to reduce scaling. If a secondary infection occurs on the skin, oral antibiotics will need to be prescribed. Tips that will help keep the skin looking and feeling its best include applying a good quality lotion within 3 minutes of bathing. Apply to wet skin to keep moisture trapped into the skin. Products that contain lactic acid, alpha hydroxy acids and urea will help to keep skin not only moisturised but also exfoliated. Rubbing a wet pumice stone over crusty scales on the skin can help to remove them. Should there be scales on the scalp, brushing wet hair gently will aid in removing the scales.  

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