OVERVIEW OF
HYPERPIGMENTATION
DISORDERS
Peter Nugraha Soekmadji
Department of Dermatovenereology
Faculty of Medicine
Maranatha Christian University
Bandung
TOPICS OUTLINE
1. Color of the skin
2. Common terminology of hyperpigmentation
disorderS
3. Diagnostic process
4. Hyperpigmentation disorders essential in
esthetic dermatology
J.- P. Ortonne. Normal and abnormal skin color. Annales de dermatologie et de vénéréologie (2012) 139, S125-S129
Oxidized
hemoglobin
Melanin
Reduced hemoglobin
MELANOCYTIC
HYPERMELANOSIS
J.- P. Ortonne. Normal and abnormal skin color. Annales de dermatologie et de vénéréologie (2012) 139, S125-S129
MELANOTIC HYPERMELANOSIS
J.- P. Ortonne. Normal and abnormal skin color. Annales de dermatologie et de vénéréologie (2012) 139, S125-S129
DERMAL MELANOCYTOSIS
J.- P. Ortonne. Normal and abnormal skin color. Annales de dermatologie et de vénéréologie (2012) 139, S125-S129
DERMAL MELANOSIS
J.- P. Ortonne. Normal and abnormal skin color. Annales de dermatologie et de vénéréologie (2012) 139, S125-S129
pigmentary incontinence
HYPERMELANOSIS &
HYPERKERATOSIS
J.- P. Ortonne. Normal and abnormal skin color. Annales de dermatologie et de vénéréologie (2012) 139, S125-S129
NON-MELANIC
DERMAL PIGMENTATION
J.- P. Ortonne. Normal and abnormal skin color. Annales de dermatologie et de vénéréologie (2012) 139, S125-S129
RETICULATE PATTERN
Passeron T & Ortonne J-P. Atlas of pigmentary disorders.. 2016
22
SEBORRHEIC KERATOSIS
Stuck-on
appearance
LENTIGINES
Light-dark
brown,
mm-cm
PARTIAL UNILATERAL
LENTIGINOSIS
FRECKLES
Light-dark
brown,
< 5 mm
RIEHL’S MELANOSIS
Brown/blue
reticulate hyper-
pigmentation
NEVUS OF OTA
Unilateral
blue/bray/brown
mottled hyper-
pigmentation
NEVUS HORI
Bilateral
blue/bray/brown
mottled hyper-
pigmentation
MELASMA
Symmetric,
irregular border
POST-INFLAMMATORY
HYPERPIGMENTATION
History of
inflammatory disorder
EXOGENOUS
OCHRONOSIS
Hyperpigmented
macule-papule,
long-term use
of HQ
ERYTHEMA DYSCHROMICUM
PERSTANS
Ashy hyper-
pigmentation
Overview of hyperpigmentation disorders

Overview of hyperpigmentation disorders