TY - CHAP M1 - Book, Section TI - Melasma A1 - Pandya, Amit G. A1 - Rivas, Shelly A2 - Kelly, A. Paul A2 - Taylor, Susan C. A2 - Lim, Henry W. A2 - Serrano, Ana Maria Anido PY - 2016 T2 - Taylor and Kelly's Dermatology for Skin of Color, 2e AB - KEY POINTSMelasma is an acquired, relapsing condition of bilateral facial hypermelanosis.Melasma predominantly affects women with skin of color.An association exists with exposure to ultraviolet radiation, hormonal influences, and genetic predisposition, although the exact cause remains unknown.Melasma negatively affects quality of life and can be socially stigmatizing.First-line therapy entails sun protection and sun avoidance in conjunction with topical depigmenting agents.The use of chemical peels, laser and light therapies should be reserved for refractory cases and used with caution in patients with skin of color to reduce the risk of postinflammatory hyperpigmentation. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - dermatology.mhmedical.com/content.aspx?aid=1161547395 ER -