notesonly.in

A 28-year-old female patient visits the dermatology clinic complaining of dark, irregular brown patches on her cheeks and forehead that have appeared over the last 6 months. She mentions that the patches seem to get darker whenever she spends time outdoors in the sun. On examination, the doctor sees symmetrical, brownish patches (hyperpigmentation) on the malar area (cheekbones). There are no signs of scaling or itching. The doctor concludes this is Melasma, likely triggered by sun exposure and hormonal changes. Management includes strict use of Sunscreen (UV protection) and topical skin lighteners like Hydroquinone.