35 yr old clerkial job, H/O macular hyperpigmented patch Bilateral since 01yr. Dx and Mx ?

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It seems like zygomatic melanosis Glycolic acid,good quality sunscreen 50 SPF,gultathione etc.

MELASMA

Melasma.topical triluma cream night for 4weeks.sebamed sunscreen spf50 day time.once pigmentation reduces switch to kojilite h cream.tab tranexamic 250mg bd limcee 500mg od.in resistant cases glycolic kojic peel have good response.

Melasma

Melasma

Melasma

Melasma

Melasma

Melasma

It's melasma. Use Aloederm cream twice daily. It has aloe Vera.

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