Clinical Features

Clinical features of melasma usually evolve rapidly, especially after UV exposure. Lesions are uniformly light to dark brown, often symmetric, and three clinical patterns can be distinguished:

Fig. 14.2. Centrofacial localization of melasma
Fig. 14.3. Malar localization of melasma

Two thirds of cases of melasma are localized on the face (cheeks, forehead, nose, superior lip and chin), while one third is localized on the dorsal forearms.

Fig. 14.4. Mandibular localization of melasma

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