Having pigmentation on face due to exposure to sunlight. Remedy?
Patient: Hello Dr, Greetings and happy New year. My wife is 28 yrs with one baby of 7 months. She had pigmented facial skin diffused stage only in forehead , mid nose and either side. Slight below the nose and not below the mouth. The pigment type is I fig of this site. WWW.WWWW.WW She is normal in health but at the age of 12 had TB. After DOTS, she was OK and lung is very well now after X ray as I know. She has not taken any oral drugs but some creams at the past. No allergy , no pain. But due to expose of sunlight, skin becomes dark. I am clinical psychologist and parasitologist. I am doing PhD in health science. No other physical and anatomical problem she had. Sometimes constipation only. Would you please give me proper suggestion. Thanking you, Doctor: hi..thanks for your query.. From the clinical picture described, I feel your wife has something called Melasma.also known as Chloasma faciei,is a dark skin discoloration. Although it can affect anyone, melasma is particularly common in women, especially pregnant women and those who are taking oral or patch contraceptives or hormone replacement therapy (HRT) medications.The symptoms of melasma are dark, irregular well demarcated hyper pigmented patches commonly found on the upper cheek, nose, upper lip and forehead. Melasma does not cause any other symptoms beyond the cosmetic discoloration.Treatments to hasten the fading of the discolored patches include: Topical depigmenting agents, such as hydroquinone Chemical peels. Laser treatment. It is extremely essential to use a broad spectrum sunscreen throughout the day , with repetitions every 3-4 hourly,not only when outside, but also  even indoor or while cooking. Hope this helps..Take care!