Melasma and reflectance confocal microscopy : from baseline to treatment monitoring

© 2024 the International Society of Dermatology..

Melasma is a frequent condition worldwide, and it represents one of the most challenging disorders to treat in cosmetic dermatology. One of the critical factors for treatment prognosis is the assessment of the depth and distribution of pigment within the hyperpigmented area. Nowadays, non-invasive skin imaging techniques, such as reflectance confocal microscopy (RCM), have been used to estimate pigment distribution and depth within different skin layers. This article aims to provide a systematic review of RCM applications in melasma, providing terminology and investigating characteristics of melasma at baseline and after medical and laser treatment. Our results support the recognition of two main types of melasma, epidermal and mixed type, thanks to the role of RCM in highlighting the precise pigment depth location in the skin non-invasively. RCM treatment monitoring enables the objectification of pigment variations after treatment and the identification of prognostic factors for different treatment modalities. After the era of the application of RCM as a technique applied strictly to skin cancers, additional cosmetic applications are emerging, such as the application of melasma treatment monitoring.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

International journal of dermatology - (2024) vom: 06. März

Sprache:

Englisch

Beteiligte Personen:

Guida, Stefania [VerfasserIn]
Longo, Caterina [VerfasserIn]
Ronga, Riccardo [VerfasserIn]
Stabile, Giorgio [VerfasserIn]
Podo Brunetti, Antonio [VerfasserIn]
Bigotto, Gianmarco D [VerfasserIn]
Conforti, Claudio [VerfasserIn]
Ciardo, Silvana [VerfasserIn]
Cantisani, Carmen [VerfasserIn]
Paolino, Giovanni [VerfasserIn]
Mercuri, Santo R [VerfasserIn]
Nisticò, Steven P [VerfasserIn]
Zerbinati, Nicola [VerfasserIn]
Rongioletti, Franco [VerfasserIn]
Pellacani, Giovanni [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Laser monitoring
Melasma
Peeling monitoring
Pigment depth
Pigmentation
Reflectance confocal microscopy
Review

Anmerkungen:

Date Revised 06.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1111/ijd.17117

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369381319