Evidence map›Paper›PMID 36231404›Full record

ReviewInternational journal of environmental research and public health2022

Understanding Melasma-How Can Pharmacology and Cosmetology Procedures and Prevention Help to Achieve Optimal Treatment Results? A Narrative Review.

Zuzanna Piętowska, Danuta Nowicka, Jacek C Szepietowski

Open access · goldAbstract readReview
In one paragraph

Review in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
10.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 54 citations in OpenAlex.

  1. Trial
  2. [Q-switched Nd:YAG 1064 nm laser combined with topical metformin lotion for treatment of chloasma in mice].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Latin American consensus on the treatment of melasma.International journal of dermatology · 2025
    Review
  7. Article
  8. Article
  9. Sunscreens in pigmentary disorders: time to revise the message.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2025
    Article
  10. Amelioration of Melasma Using Quantum Molecular Resonance.Journal of cosmetic dermatology · 2025
    Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Carotenoids in red fruit (Biomedical reports · 2024
    Review
  16. Article
  17. Article
  18. Review
  19. Melasma: A Step-by-Step Approach Towards a Multimodal Combination Therapy.Clinical, cosmetic and investigational dermatology · 2024
    Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Zuzanna PiętowskaDepartment of Dermatology, Venereology and Allergology, Wrocław Medical University, 50-368 Wrocław, Poland.
Danuta NowickaDepartment of Dermatology, Venereology and Allergology, Wrocław Medical University, 50-368 Wrocław, Poland.ORCID 0000-0002-1717-4280
Jacek C SzepietowskiDepartment of Dermatology, Venereology and Allergology, Wrocław Medical University, 50-368 Wrocław, Poland.ORCID 0000-0003-0766-6342
Wroclaw Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Melasma is a chronic skin condition that involves the overproduction of melanin in areas exposed to ultraviolet radiation. Melasma treatment is long-term and complicated with recurrence and resistance to treatment. The pathogenesis of melasma is highly complex with multiple pathologies occurring outside of the skin pigment cells. It includes photoaging, excessive melanogenesis, an increased number of mast cells, increased vascularization, and basement membrane damage. In addition, skin lesions related to melasma and their surrounding skin have nearly 300 genes differentially expressed from healthy skin. Traditionally, melasma was treated with topical agents, including hydroquinone, tretinoin, glucocorticosteroids and various formulations; however, the current approach includes the topical application of a variety of substances, chemical peels, laser and light treatments, mesotherapy, microneedling and/or the use of systemic therapy. The treatment plan for patients with melasma begins with the elimination of risk factors, strict protection against ultraviolet radiation, and the topical use of lightening agents. Hyperpigmentation treatment alone can be ineffective unless combined with regenerative methods and photoprotection. In this review, we show that in-depth knowledge associated with proper communication and the establishment of a relationship with the patient help to achieve good adherence and compliance in this long-term, time-consuming and difficult procedure.

Indexed as

HydroquinonesMelanosisHumansMelaninsTreatment OutcomeTretinoinUltraviolet RaysHydroquinonesMelaninsTretinoinchemical peelshydroquinonehyperpigmentationlaser therapymelasmamelasma pathogenesismelasma treatmentphotoaging

Identifiers

PMID36231404
PMCPMC9564742
OpenAlexW4297236216

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.