Chloasma manifests as pigmented patches on the face which are most often associated with pregnancy, but can appear due to other causes as well not only in the females but in males too. This disease is also known as ‘melasma’, ‘seborrhoeic melanosis’ and pigmentation due to pregnancy. If you are looking forward to Under eye filler near me raleigh nc

The lesions in chloasma are very characteristic. These are superficial-looking, brownish macules (patches) which are irregular in shape and have a spotty appearance. The margins of the macules are highly crenated but fairly sharp. In size, the macules may be as small as 1 cm, or large enough to cover almost the entire face in the form of a mask. The lesions however, do not occur on any other part of the body, and on the face too, the lesions of chloasma have a very characteristic distribution.

The most common site of involvement is the front of the cheeks on one 01’both the sides. The bridge of the nose is also frequently involved. The lesions may also appear on the forehead in the form of an irregular patch at the centre of the forehead, but sometimes it involves an elongated area just above the eyebrows. When it involves the upper lip, it spares the middle portion of the upper lip which lies just below the nose-this pattern of involvement suggests that the pigmentation is related to exposure to sunlight, because the areas adjacent to the hairline (protected by the scalp hair), the middle part of the upper lip (protected by the nose), the upper and the lower eyelids, and the under-surface of the chin are never involved.

In spite of this distribution, the patient never complains of aggravation due to an excessive exposure to sunlight and the lesions are completely asymptomatic-there is no itching, pain or burning sensation even after prolonged exposure to sunlight. The lesions are completely flat; neither raised above the surface, nor does the skin feel different in these areas. The color is also a peculiar brownish black which can be easily distinguished from pigmentation due to other causes. The extent of involvement varies in different individuals.

Contact Dermatitis

Contact dermatitis’ is the term used when the dermatitis is caused by an agent which comes in contact with the surface of the skin. Conventionally, contact dermatitis is always allergic in nature and occurs only in an individual who has developed allergy to that agent. Like other allergic diseases, the agents responsible for contact dermatitis are also substances to which the individual is exposed during the routine day-to-day activities.

Contact dermatitis can be easily controlled by applying a corticosteroid ointment if the dermatitis is confined to a localised area. If, on the other hand, the dermatitis is generalised and extensive, it is preferable to treat it with an oral corticosteroid. Antihistamines (commonly known as anti-allergic drugs) are virtually of no use in contact dermatitis. It is however, important to know that the corticosteroid would bring about only a temporary regression of the disease.

If the exposure to the causal agent is continued, the dermatitis would also continue to recur. The primary treatment for contact dermatitis therefore, is to detect the cause and prevent further exposures. If further exposures are prevented, the dermatitis would subside even without any treatment. Corticosteroid however, will help the dermatitis to subside faster and reduce the suffering.

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