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Image Number 261 (Then and Now)

Macule brown

Diagnosis: Then and Now

Site: Cheek

Sex: F

Age: 45

Type: Clinical

Description: Symmetric brown patches of melasma

Submitted by: Shahbaz Janjua

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Differential Diagnosis

History: This 45-year-old woman with several years history of melasma on the face showed a dramatic improvement only after three weeks treatment with a topical formulation ( Kojic acid+ascorbic acid+lactic acid+tocopheryl acetate+citric acid+retinyl palmitate+salicylic acid) plus hydrocortisone 1 % cream and a sunscreen lotion of SPF 60.

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