Melasma
Dermatology Anagha Nair•Gender: Female•Age: 36 years (Adult)• Chronicity: 2 years
Presenting Complaints & History
- Symmetrical dark brown patches on cheeks, nose bridge, and forehead
- Pigmentation darkening significantly after brief sun exposure
- social withdrawal and distress regarding appearance
- Dry, sensitive facial skin from using bleaching creams
Clinical Assessment
Developed melasma following sun exposure and oral contraceptive pill use. Chemical peeling and hydroquinone creams caused irritation, prompting homeo care.
Diagnostic Investigations: Clinical visual exam confirming epidermal melasma; thyroid panel normal.
Homeopathic Therapeutics & Management
Constitutional therapy to regulate estrogen-melanocyte pathways, reduce skin sensitivity, and promote natural skin repair.
Selected Constitutional Remedies: Sepia and Lycopodium Clavatum
Lifestyle & Nutritional Support
Strict use of physical mineral zinc-oxide sunscreen, wearing wide-brimmed hats, and using mild skin emollients.
Clinical Outcome
Follow-up Period: 6 months- Significant fading of dark patches on cheeks and forehead
- Resolved skin sensitivity, enabling normal skin tolerance
- Facial skin tone became even and healthy
- Improved self-confidence and social participation
✓Medically reviewed by Dr. Navaneeth K. Unni
View credentials →#Melasma#Hyperpigmentation#SunDamage#Estrogen#Sepia
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