Concordance of Dermoscopic Findings and Wood’s Lamp Findings in Melasma Patients

Authors

  • Amna Nasar Department of Dermatology, Combined Military Hospital, Kharian/National University of Medical Sciences (NUMS) Pakistan
  • Aamir Habib Department of Dermatology, Combined Military Hospital, Kharian/National University of Medical Sciences (NUMS) Pakistan
  • Qamar Ud Din Department of Dermatology, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Summaya Saleem Department of Dermatology, Combined Military Hospital, Jhelum/National University of Medical Sciences (NUMS) Pakistan
  • Sadaf Jamshaid Department of Dermatology, Combined Military Hospital, Kharian/National University of Medical Sciences (NUMS) Pakistan
  • Usman Sajid Department of Dermatology, Combined Military Hospital, Kharian/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i6.7630

Keywords:

Concordance, Dermoscope, Melasma, Wood’s lamp

Abstract

Objective: To find the concordance of Dermoscopic and Wood’s lamp findings in melasma patients.

Study Design: Cross-sectional study.

Place and Duration of Study: Combined Military Hospital, Kharian Pakistan, from Nov 2020 to Sep 2021.

Methodology: A total of sixty patients clinically classified as melasma were enrolled in the study. Clinical assessment was
done, and patients were examined with Wood’s lamp and Dermoscope, and findings were recorded.

Results: The results of concordance of Wood’s lamp findings and Dermoscopic findings were significant as analysed by
Kappa Statistics where value of k was 0.597 and p-value was <0.001.

Conclusion: Dermoscopy is a newer and more advanced tool. It should be used as a screening and diagnostic tool for melasma and other pigmentation disorders in our Outpatient Departments for earlier subtyping of melasma, deciding the treatment choice and predicting prognosis.

Downloads

Download data is not yet available.

References

Hammerschmidt M , Mayara SL, Sanae HS, Fernanda CN,Miltsue MM. Evaluation of Melasma Classification methods

based on response to treatment. Surg Cosmet Dermatol J 2012;4(2): 155-158.

Sanchez NP, Pathak MZ, Fitzpatrick TB, Sanchez JL, MC MihimJr. Melasma J Am Acad Dermatol 1981; 4(6): 698–710.

https://doi.org/10.1016/s0190-9622(81)70071-9.

Rodrigues M, Pandya AG. In: Kang S, Amagai M, Bruckner AL,Enk AH, et al. Fitzpatrick’s Dermatology in General Medicine.

Vol 2. 9th ed. New York NY: McGraw-Hill; 2019.

Geel N, Speeckaert R. In: Griffiths C, Barker J, Bleiker T,Chalmers R, Creamer D, et al. Rook’s Textbook of Dermatology.

Vol 3. 9th ed. UK: Wiley Blackwell; 2016.

Grimes PE. Melasma: etiological and therapeutic considerations.Arch Dermatol Res 1995; 131(12): 1453–1457.

https://doi.org/10.1001/archderm.131.12.1453.

Nanjundaswamy BL, Joseph JM, Raghavendra KR. A clinicodermoscopic study of melasma in a tertiary care centre. PigmentInt J 2017; 4(2): 98-103.

Abdel RH, Sayed K, Nouredin F, Adel NA, Ibrahim S.Dermoscopy as a useful tool for evaluating melasma and

assessing the response to 1064-nm Q-switched Nd:YAG laser.Dermatol Ther 2020; 33(4): e13629.https://doi.org/10.1111/dth.13629.

Agamia N, Apalla Z, Salem W, Abdalla W. A comparative studybetween oral tranexamic acid versus oral tranexamic acid and Qswitched Nd-YAG laser in melasma treatment: a clinical anddermoscopic evaluation. J Dermatol Tm 2020; 32(7): 819-826.https://doi.org/10.1080/09546634.2019.1708847

Gilchrest BA, Fitzpatrick TB, Anderson RR. Localization ofmelanin pigmentation with Wood’s lamp. Br J Dermatol 1977;

(3): 245–248.https://doi.org/10.1111/j.1365-2133.1977.tb06132.x

Manjunath KG, Kiran C, Sonakshi S, Agrawal R. Melasma:Through the eye of a dermoscope. Int J Res Dermatol 2016; 2(4):

-117.https://doi.org/10.18203/issn.24554529.IntJResDermatol64071

Prignano F, Ortonne JP, Buggiani G, Lotti T. TherapeuticalApproaches in Melasma. Dermatol Clin J 2007; 25(3): 337-342.

https://doi.org/10.1016/j.det.2007.04.006

Dwari BC, Palaian S, Poudel A, Prabhu S. Clinical profile andmanagement pattern of melasma patients in Western Nepal: Ahospital based study. Intl J Dermatol 2009; 7(1): 1-5.

Dharni R, Madke B, Adarsh l. Correlation of clinicodermatoscopic and Wood’s lamp findings in patients havingmelasma. Pigment Intl 2018; 5(2): 91-95.https://doi.org/10.4103/Pigmentinternational.

Chatterjee M, Vasudevan B. Recent advances in melasma.Pigment Int 2014; 1(2): 70-80.https://doi.org/10.4103/2349-5847.147044.

Sodhi VK, Sausker WF. Dermatoses of pregnancy. Am FamPhysician 1988; 37(1): 131-138.

Vazquez M, Maldonado H, Benmaman C, Sanchez JL. Melasmain men: A clinical and histologic study. Int J Dermatol 1988;27(1): 25-27. https://doi.org/10.1111/j.1365-4362.1988.tb02329.x.

Resnik S. Melasma induced by oral Contraceptive drug. J AmAcad Dermatol 1967; 199(9): 601-605.

Lufti RJ, Fridmanis M, Misiunas AL, Pafume O, Gonzalez EA,Villemur JA, et al. Association of melasma with thyroid

autoimmunity and other thyroidal abnormalities and theirrelationship to the origin of the melasma. J Clin Endocrinol

Metab 1985; 61(1): 28-31.https://doi.org/10.1210/jcem-61-1-28.

Downloads

Published

28-12-2023

Issue

Section

Original Articles

How to Cite

1.
Nasar A, Aamir Habib, Qamar Ud Din, Summaya Saleem, Sadaf Jamshaid, Usman Sajid. Concordance of Dermoscopic Findings and Wood’s Lamp Findings in Melasma Patients. Pak Armed Forces Med J [Internet]. 2023 Dec. 28 [cited 2024 Dec. 27];73(6):1628-31. Available from: https://pafmj.org/PAFMJ/article/view/7630