Drug that can cause melasma
Diphenylhydrantoin
OCP
Lesions
Macular hyperpigmentation mostly sharply defined in the malar and frontal areas of the ace (Fig. 13-9). Usually uni
form but also blotchy
Medications.
fluocinolone 0.01%, hydroquinone 4%, and tretinoin 0.05%. Hydroquinone 4% cream can be compounded with 0.05% tretinoin cream or gly- colicacidbythepharmacist
Prevention
opaque sunblock