Exploring the classification of hyperpigmentation disorders

1. OVERVIEW OF
HYPERPIGMENTATION
DISORDERS
Peter Nugraha Soekmadji
Department of Dermatovenereology
Faculty of Medicine
Maranatha Christian University
Bandung

2. TOPICS OUTLINE
1. Color of the skin
2. Common terminology of hyperpigmentation
disorderS
3. Diagnostic process
4. Hyperpigmentation disorders essential in
esthetic dermatology

4. J.- P. Ortonne. Normal and abnormal skin color. Annales de dermatologie et de vénéréologie (2012) 139, S125-S129

6. Oxidized
hemoglobin
Melanin

7. Reduced hemoglobin

11. MELANOCYTIC
HYPERMELANOSIS
J.- P. Ortonne. Normal and abnormal skin color. Annales de dermatologie et de vénéréologie (2012) 139, S125-S129

12. MELANOTIC HYPERMELANOSIS
J.- P. Ortonne. Normal and abnormal skin color. Annales de dermatologie et de vénéréologie (2012) 139, S125-S129

13. DERMAL MELANOCYTOSIS
J.- P. Ortonne. Normal and abnormal skin color. Annales de dermatologie et de vénéréologie (2012) 139, S125-S129

14. DERMAL MELANOSIS
J.- P. Ortonne. Normal and abnormal skin color. Annales de dermatologie et de vénéréologie (2012) 139, S125-S129
pigmentary incontinence

15. HYPERMELANOSIS &
HYPERKERATOSIS
J.- P. Ortonne. Normal and abnormal skin color. Annales de dermatologie et de vénéréologie (2012) 139, S125-S129

16. NON-MELANIC
DERMAL PIGMENTATION
J.- P. Ortonne. Normal and abnormal skin color. Annales de dermatologie et de vénéréologie (2012) 139, S125-S129

17. RETICULATE PATTERN

20. Passeron T & Ortonne J-P. Atlas of pigmentary disorders.. 2016

22. 22
SEBORRHEIC KERATOSIS
Stuck-on
appearance

23. LENTIGINES
Light-dark
brown,
mm-cm

24. PARTIAL UNILATERAL
LENTIGINOSIS

25. FRECKLES
Light-dark
brown,
< 5 mm

26. RIEHL’S MELANOSIS
Brown/blue
reticulate hyper-
pigmentation

27. NEVUS OF OTA
Unilateral
blue/bray/brown
mottled hyper-
pigmentation

28. NEVUS HORI
Bilateral
blue/bray/brown
mottled hyper-
pigmentation

29. MELASMA
Symmetric,
irregular border

30. POST-INFLAMMATORY
HYPERPIGMENTATION
History of
inflammatory disorder

31. EXOGENOUS
OCHRONOSIS
Hyperpigmented
macule-papule,
long-term use
of HQ

32. ERYTHEMA DYSCHROMICUM
PERSTANS
Ashy hyper-
pigmentation