Gravidarian melasmaL81.4
Synonym(s)
DefinitionThis section has been translated automatically.
Non-pathological, usually blurred, large or small spots, closed or reticular hyperpigmentation (melanosis) in the facial area acquired during pregnancy. Facial pregnancy pigmentation affects brunette skin types more than very fair skin types.
Occurrence/EpidemiologyThis section has been translated automatically.
Melasma gravidarum occurs in about 10% of pregnant women (Estève E et al. 1994).
EtiopathogenesisThis section has been translated automatically.
This is due to the increased production of estrogens, progesterone and MSH. In exposed skin areas UV leads to an additive pigmentation effect.
LocalizationThis section has been translated automatically.
Forehead, cheeks (zygomatic region), upper lip, nose, temple and lower jaw region.
Clinical featuresThis section has been translated automatically.
Usually sharply or reticulated, irregularly shaped, often symmetrical, brown-grey to deep brown, areal, bizarrely shaped hyperpigmentations that can confluent to larger areas.
TherapyThis section has been translated automatically.
Textile light protection is recommended. Various bleaching creams are not recommended during pregnancy. After breastfeeding, persistent melasma gravidarum can be treated like any other melasma (see there).
Note(s)This section has been translated automatically.
Analogous to the Psoriasis Area and Severity Index (PASI) the Melasma Assessment Severity Index(MASI) was developed.
LiteratureThis section has been translated automatically.
- Ambros-Rudolph C (2018) Pregnancy dermatoses. In: G. Plewig et al. (ed.), Braun-Falco`s Dermatology, Venerology and Allergology, Springer Reference Medicine. S. 1521
- Errickson CV et al (1994) Skin disorders of pregnancy. On Fam Physician 49:605-610.
- Estève E et al (1994) Physiological cutaneous signs in normal pregnancy: a study of 60 pregnant women.Ann Dermatol Venereol 121:227-231.
- Motosko CC et al (2017) Physiologic changes of pregnancy: A review of the literature. Int J Women's Dermatol 3:219-224.
- Tunzi M et al (2007) Common skin conditions during pregnancy. On Fam Physician 75:211-218.