An evidence-based, peer-reviewed journal for practicing clinicians in the field of dermatology
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59 JCAD JOURNAL OF CLINICAL AND AESTHETIC DERMATOLOGY February 2018 • Volume 11 • Number 2 R E V I E W as first-line treatments for melasma in either sex. Their use should be restricted to cases unresponsive to topical therapy or chemical peels. CONCLUSION Melasma has traditionally been considered to be a pigmentation disorder of the female sex, but the occurrence in men is not uncommon. It appears to affect dark-skinned men of Asian and African- American origin more frequently than previously thought. Melasma has a multifactorial origin that is exacerbated by environmental factors such as sunlight, especially in those genetically predisposed to the condition. The etiopathogenesis of melasma in men is similar to that of women, except for hormonal factors, which are more prevalent in women. The role of mustard oil needs to be better substantiated. Malar melasma is most common in men. The treatment of melasma is challenging, often unsatisfactory, and needs to be continued indefinitely to avoid recurrence. To ensure optimal adherence, clinicians should consider individual patient needs, preferences, and expectations when devising a treatment plan. Strict sun protection, including sunscreens, do offer some protection against relapse, but it is not guaranteed. Further studies on melasma in men belonging to different population groups would go a long way in a better understanding of the differences from their female counterparts. REFERENCES 1. Pandya AG, Guevara IL. Disorders of hyperpigmentation. Dermatol Clin. 2000;18:91–8. 2. Grimes PE. Melasma: etiological and therapeutic considerations. Arch Dermatol. 1995;131:1453–1457. 3. Al-Hamdi KI, Hasony HJ, Jareh HL. Melasma in Basrah: A clinical and epidemiological study. MJBU. 2008;26:1–5. 4. Taylor SC. Epidemiology of skin diseases in people of color. Cutis. 2003; 71:271–275. 5. Sarkar R, Puri P, Jain RK, et al. 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