Quality of Life in Melasma

Andreas Katsambas and Efthymia Soura

Introduction

Melasma, being more common on the face (Fig. 18.1a), may also be infrequently seen on the neck and the forearms. Both sexes are affected, but the male population (Fig. 18.1b) may represent up to only 10 % of cases [1]. This hyperpigmentation disorder is of varying severity and tends to exhibit seasonal changes. As is the case with most dermatological conditions that involve the face, melasma may be a cause of distress for many patients. Daily life can be influenced through alteration of selfperception, loss of confidence, and worsening of mood that may finally lead to decreased interaction with others and lowering of overall quality of life. In addition, melasma is a condition that requires constant treatment, which may be time consuming and expensive, with frequently moderate results and a high recurrence rate [2]. This may be a source of further aggravation for many patients.

The quality of life measures used for the evaluation of melasma impact on everyday life are summarized. In addition, the way that melasma may influence everyday life is also addressed.