RT Book, Section
A1 Usatine, Richard P.
A1 Smith, Mindy A.
A1 Chumley, Heidi S.
A1 Mayeaux, E.J.
SR Print(0)
ID 57683653
T1 Chapter 197. Melasma
T2 The Color Atlas of Family Medicine, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176964-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57683653
RD 2024/04/18
AB A  young  Hispanic  woman  delivers  a  healthy  baby  boy.  On  the  first  postpartum  day,  she  is  sitting  in  the  rocking  chair  after  breastfeeding  her  son.  Her  doctor  notes  that  she  has  melasma  and  asks  her  about  it.  She  states  that  the  hyperpigmented  areas  on  her  face  have  become  darker  during  this  pregnancy  (Figure  197-1).  She  noted  the  dark  spots  started  with  her  first  pregnancy  but  they  are  worse  this  time.  On  physical  examination,  hyperpigmented  patches  are  noted  on  the  cheeks  and  upper  lip  (Figure  197-2).  Although  the  patient  hopes  the  pigment  will  fade,  she  does  not  want  to  treat  the  melasma  at  this  time.