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한국인 기미환자의 5개 대학병원 다기관 임상역학연구

Other Titles
 Clinicoepidemiological Features of Melasma in Korean Patients at Five University Hospitals: A Cross-sectional Multicenter Study 
 이미혜  ;  노태경  ;  이종희  ;  노미령  ;  나정임  ;  정의창  ;  고주연  ;  장성은 
 Korean Journal of Dermatology (대한피부과학회지), Vol.54(7) : 532-537, 2016 
Journal Title
 Korean Journal of Dermatology (대한피부과학회지) 
Issue Date
Melasma ; Korean ; Questionnaire ; Aggravating factors
Background: Melasma is a common acquired hyperpigmentation disorder that predominantly affects the face. It frequently occurs in women with darker skin types and severely impacts quality of life. Objective: To characterize the clinicoepidemiological features and triggering or aggravating factors of melasma in Korean patients. Methods: This cross-sectional study was conducted at the dermatology clinics of five university hospitals in Korea. Between January 2011 and August 2012, 411 patients with melasma completed a questionnaire about the clinical and aggravating factors associated with their melasma. Results: The study population consisted of 400 women and 11 men aged 22∼73 years (mean age, 42.8±9.92 years). Triggering or aggravating factors were sun exposure (68.4%), pregnancy (27.0%), and emotional stress (24.8%). Interestingly, 61.1% of patients complained of sensitive/inflammatory features such as erythema, itching, and a stinging sensation. Dryness was the most common aggravating factor, followed by erythema/redness and itching/stinging. Concomitant pigmentary disorders included post-inflammatory hyperpigmentation in 15.1% of patients, followed by pigmented contact dermatitis, and acquired bilateral nevus of Ota-like macules. Conclusion: It is well known that sun exposure and hormonal changes are the most common triggers of melasma; however, sensitive/inflammatory features may aggravate melasma in East Asian patients. Therefore, these individual and racial differences should be considered in the prevention and treatment of melasma. (Korean J Dermatol 2016;54(7):532∼537)
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실) > 1. Journal Papers
Yonsei Authors
Roh, Mi Ryung(노미령) ORCID logo https://orcid.org/0000-0002-6285-2490
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