treat melasma : 8 diagnosis


Melasma Diagnosis
Melasma diagnosed only with clinical examination. To determine the type of melasma, Wood-ray examination is done. While the examination histopatologik only done in some cases.

Melasma Diagnosis Letter
a. Addison Disease
Addison disease is a disease caused insufiensi adrenal, where the increase occurred between kortikotropin and MSH, which is marked by symptoms that are often not typical, such as stiff-stiff, weak, anoreksia, Nausea, stomach aches, Gastroenteritis, diarrhea and emotions that are not stable. Insufiensi adrenal is triggered by infection or destructs autoimmune nonspecific on the adrenal gland. Diseases that often cause infection of Addison disease is tuberculosis. There is destructs cortex adrenal cause feedback inhibition hypothalamus gland and anterior pituitary lost, the consequences kortikotropin sekresi ongoing. Kortikotropin MSH and progenitor of both components is the same hormone. When kortikotropin parsed from prohormon, together with the MSH released. Consequences arising hiperpigmentasi crimson / bronze (Bronze hyperpigmentation) that way.
b. Drug induced photosensitivity is kutaneus disease as a result of the combination of chemical reaction and light, where the actual exposure of one of them does not cause disease. This disease is usually because of drugs or chemicals or systemic topical.
c. Discoid lupus eritematous (LED) is a disease that attacks the system connective and vascular caused autoimmune process and the interaction between genetic factors and immunologic, virus infection and hormonal. LED going on which The speck in the skin eritematosa and atrophy without ulserasi. Deviation localise usually symmetrical in the face, ears or neck.
d. Hiperpigmentasi post-infection occurs after inflammation of the skin. Aberration is very common and tend to settle on the dark skin. The clinical hiperpigmentasi can be found following the pattern and distribution of skin disease.
e. Efelid aberration is a form of skin The speck-The speck of black or brown in areas exposed to sunlight. It was revealed that familial factors are autosomal dominant, and usually occurs in the summer. Localization on the face, neck, shoulder, back and hands.
f. Ookronosis the pigment in the dermis hill that often occur because the stack metabolite hidrokuinon in the dermis.

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