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What is the difference between melasma and lentigines?

Published in Skin Conditions 2 mins read

Melasma and lentigines are both skin conditions that cause changes in pigmentation, but they differ in their appearance, causes, and demographics.

Understanding Melasma

Melasma is characterized by the appearance of brown or gray patches on the skin. These patches commonly occur on the:

  • Cheeks
  • Forehead
  • Upper lip
  • Chin

According to the reference, women, particularly those with darker complexions and pregnant individuals, are more prone to developing melasma. It's often associated with hormonal changes.

Understanding Lentigines

Lentigines, also known as solar lentigines or age spots, are small, darkened spots that are associated with aging and sun exposure. They are common in people over 40 years old. They typically appear on areas of the skin that are often exposed to the sun, like:

  • Face
  • Hands
  • Arms
  • Upper back

Key Differences Summarized

Here is a table summarizing the key differences:

Feature Melasma Lentigines (Solar Lentigines)
Appearance Brown or gray patches Small, darkened spots
Common Locations Cheeks, forehead, upper lip, chin Face, hands, arms, upper back
Main Causes Hormonal changes, often in pregnant women Aging, sun exposure
Demographics More common in women, especially with darker skin Common in people over 40, regardless of gender

Summary

In short, melasma is characterized by larger patches of discoloration often linked to hormonal changes, while lentigines are smaller spots primarily due to aging and sun exposure. The provided reference states: "Melasma causes brown or gray patches to appear on the skin...Solar lentigines is often known as 'age spots' and are associated with ageing. It is common in people over age 40.".

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