Melasma: A Monograph Rashmi Sarkar
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MELASMA A Monograph
MELASMA A Monograph
SECOND EDITION
Editor Rashmi Sarkar MD MNAMS Professor Department of Dermatology Maulana Azad Medical College and Associated LNJP Hospital New Delhi, India Forewords Amit G Pandya Susan C Taylor
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Melasma: A Monograph / Rashmi Sarkar
First Edition : 2015
Second Edition : 2018
9789352703517
Printed at
My late father Professor (Dr) Asim Kumar Sarkar in proud remembrance
Contributors
Editor
  • Rashmi Sarkar MD MNAMS
  • Professor
  • Department of Dermatology
  • Maulana Azad Medical College and Associated LNJP Hospital
  • New Delhi, India
Contributing Authors
  • Pallavi Ailawadi MD DNB
  • Senior Resident
  • Department of Dermatology
  • Maulana Azad Medical College and Lok Nayak Hospital
  • New Delhi, India
  • Pooja Arora MD DNB
  • Associate Professor
  • Department of Dermatology
  • Dr Ram Manohar Lohia Hospital and Post Graduate Institute of Medical Education and Research
  • New Delhi, India
  • Shehnaz Z Arsiwala MD DDV
  • Consultant
  • Department of Dermatology
  • Saifee Hospital and Prince Aly Khan Hospital
  • Mumbai, Maharashtra, India
  • Latika Arya MD
  • Consultant Dermatologist
  • L A Skin and Aesthetic Clinic
  • New Delhi, India
  • Anuva Bansal MBBS
  • Post Graduate Final year
  • Department of Dermatology
  • Maulana Azad Medical College and Lok Nayak Hospital
  • New Delhi, India
  • Shivani Bansal MD DNB
  • Consultant Dermatologist
  • Kaya Skin Clinic
  • New Delhi, India
  • Jyotirmay Bharti DDV
  • Medical Director
  • Senior Consultant Dermatologist and Aestheticican
  • Square Root Hair Transplant and Skin Clinic
  • Gurugram, Haryana, India
  • Joyeeta Chowdhury MD
  • RMO-Cum-Clinical Tutor
  • Department of Dermatology
  • Nil Ratan Sircar Medical College and Hospital
  • Kolkata, West Bengal, India
  • Ncoza Dlova MBChB FCDerm PhD
  • Chief Specialist and Head
  • Department of Dermatology
  • University of KwaZulu-Natal
  • Durban, South Africa
  • Shilpa Garg DNB
  • Consultant
  • Department of Dermatology
  • Sir Ganga Ram Hospital
  • New Delhi, India
  • Narendra Gokhale MD
  • Consultant Dermatologist
  • Sklinic
  • Indore, Madhya Pradesh, India
  • Evangeline B Handog MD
  • Chair, Department of Dermatology
  • Asian Hospital and Medical Center
  • Consultant and Head
  • Cosmetic Dermatology Unit
  • Department of Dermatology
  • Research Institute for Tropical Medicine
  • Metro Manila, Philippines
  • Niharika Jha MD
  • Senior Resident
  • Department of Dermatology
  • Dr BC Roy Post Graduate Institute of Pediatric Science
  • Kolkata, West Bengal, India
  • Hee Young Kang MD PhD
  • Professor
  • Department of Dermatology
  • Ajou University School of Medicine
  • Suwon, Korea
  • Saloni Katoch MD
  • Consultant
  • Department of Dermatology, Venereology, and Leprosy
  • Dr KN Barua Institute of Dermatological Sciences
  • Guwahati, Assam, India
  • Nokubonga Khoza MBChB FCDerm
  • Honorary Consultant
  • Department of Dermatology
  • University of KwaZulu-Natal
  • Durban, South Africa
  • Maria Suzanne L Datuin-De Leon MD FPDS
  • Active Consultant
  • Department of Dermatology
  • St. Luke's Medical Center Global City
  • Taguig City, Philippines
  • Neha Meena MD
  • Dermatologist (DMO)
  • Central Hospital, North Western Railway
  • Jaipur, Rajasthan, India
  • Anisa Mosam MBChB MMed FCDerm PhD
  • Associate Professor and Principal Specialist
  • Department of Dermatology
  • University of KwaZulu-Natal
  • Durban, South Africa
  • Amit G Pandya MD
  • Professor, Department of Dermatology
  • University of Texas Southwestern Medical Center
  • Dallas, Texas, United States
  • Nilendu Sarma MD FAAD
  • Associate Professor and Head
  • Dr BC Roy Post Graduate Institute of Pediatric Science
  • Kolkata, West Bengal, India
  • Sumit Sethi MD DNB
  • Consultant, Department of Dermatology and Aesthetics, Venkateshwar Hospital
  • New Delhi, India
  • Sidharth Sonthalia MD DNB MNAMS FISD
  • Medical Director
  • Consultant Dermatologist and Dermatosurgeon, Skinnocence - The Skin Clinic and Research Centre
  • Gurugram, Haryana, India
Foreword
The disfiguring stain of melasma continues to be a facial curse affecting millions throughout the world. It is now clear that psychological morbidity from melasma is significant. In this monograph, Dr Rashmi Sarkar and colleagues have produced a succinct and excellent treatise on this disorder, packed with important, up-to-date information on diagnosis and treatment. By reading this short booklet, physicians can expand their knowledge of melasma exponentially and apply this information immediately to the next melasma patient who walks through their clinic doors.
Virtually, all aspects of melasma are covered, including pathogenesis, topical creams, oral agents, peels, lasers, and impact on quality of life. Many studies have been reported recently in patients with melasma, therefore, this publication comes at a timely moment for all of us trying to treat patients with this disorder.
Amit G Pandya MD
Professor
Department of Dermatology
University of Texas Southwestern Medical Center
Dallas, Texas, United States
Foreword
Melasma: A Monograph (2nd edition) is a comprehensive, informative, and to the point text on melasma. Professor Rashmi Sarkar has provided an invaluable tool to understand and treat this challenging disorder that has a significant psychosocial impact on patients, particularly in countries with unrelenting sun exposure. The monograph begins with the epidemiology, etiology, and pathogenesis of melasma and then moves on to discuss diagnostic tools before tackling diverse treatment interventions. Melasma: A Monograph, is easily and quickly digested and provides all the information that is necessary for medical students, residents, and attending physicians to diagnose and treat melasma.
Susan C Taylor MD
Associate Professor of Dermatology
Perelman School of Medicine
University of Pennsylvania
Philadelphia, Pennsylvania, United States
Preface to the Second Edition
A monograph on melasma was the first book I had in mind when I thought of writing. But it stayed in the shelves of my mind quietly, till I coedited two other books. The idea of completing my pet project came back and with the good wishes of my colleagues who write on this topic, my mentors, and my family, I took up editing this book once again. For me, this book highlights my area of interest and research over the years and is very close to my heart. I have kept the format simple. It is a great joy to me to bring out its second revised edition with newer additions. So much has evolved that I have added fresher chapters and hope you find these useful.
I would like to thank my teachers in PGIMER, Chandigarh, India, who always laid special emphasis on “pigmentary disorders” and my mentors, Dr Amit G Pandya and Dr Pearl E Grimes, for making my dreams turn into reality by their encouragement at the American Academy of Dermatology. A word of thanks to Mr Vij at Jaypee Brothers Medical Publishers (P) Ltd., and especially Dr Neeraj Choudhary and Ms Barkha Arora who helped in the editorial process and were delightful to work with. A very big thanks to my family for always encouraging me in difficult times.
My patients of melasma and my students remain invaluable to me. As also the various eminent international and national authors, all friends, who came forward to contribute. I hope, you, the reader enjoys reading this book as much as I enjoyed editing it.
Rashmi Sarkar MD MNAMS
Professor
Department of Dermatology
Maulana Azad Medical College and Associated LNJP Hospital
New Delhi, India
Preface to the First Edition
A monograph on melasma was the first book I had in mind when I thought of writing. However, it stayed in the shelves of my mind quietly, till I co-edited two other books. The idea of completing my pet project came back and with the good wishes of my colleagues who write on this topic, my mentors and my family, I took up editing this book once again. For me this book highlights my area of interest and research over the years and is very close to my heart. I have kept the format simple.
I would like to thank my teachers in PGIMER, Chandigarh, India who always laid special emphasis on “Pigmentary Disorders”, my mentors, Dr Amit G Pandya and Dr Pearl E Grimes for making my dreams turn into reality by their encouragement at the American Academy of Dermatology and Dr Vijay Garg, the head of our department for his help and encouragement. A lot has been written on vitiligo but melasma has not received so much attention, hence that was how the idea of writing this “monograph” was born. A word of thanks to Mr JP Vij at Jaypee Brothers Medical Publishers (P) Ltd., and especially Dr Madhu Choudhary, Ms Shweta Tiwari, and Mr Manoj Kumar who helped in the editorial and designing process and were delightful to work with. A special note of appreciation to Dr Shilpa Garg for helping me in proof reading and editing. Lastly, I appreciate the encouragement from Mr Sathya Narayanan, Mr S Raghavendra, and Mr Sanket Paranjpe and the entire team of Galderma for their belief and support.
A word of thanks to my husband Dr Srikanta Basu and my son Abhik S Basu for prodding me on always. My patients of melasma and my students remain invaluable to me. As also the various eminent international and national authors, all friends, who came forward to contribute. I hope, you, the reader enjoys reading this book as much as I enjoyed editing and writing it.
Rashmi Sarkar MD MNAMS
Professor
Department of Dermatology
Maulana Azad Medical College and Associated LNJP Hospital
New Delhi, India