Clinical and Dermoscopic Characteristics of Facial Hyperpigmentation Disorders in Skin of Color

Autores de IIS La Fe

• Miguel Mansilla Polo

  Autor

Participantes ajenos a IIS La Fe

• Díaz-Gómez C.J.
• Morgado-Carrasco D.

Grupos

• Dermatología y Regeneración Tisular

Abstract

Facial hyperpigmentation disorders (FHD) are common in dermatology, particularly in people with skin of color (SOC). They include melasma, post-inflammatory hyperpigmentation, and less frequent conditions such as exogenous ochronosis, lichen planus pigmentosus, Riehl's melanosis, acanthosis nigricans, seborrheic melanosis, pigmentary demarcation lines, drug-induced pigmentation, and nevus of Ota, among others. These conditions may significantly affect quality of life. They can present similar clinical and dermoscopic features, making diagnosis challenging. A thorough medical history, physical examination, and careful dermoscopic evaluation are essential to achieve an accurate diagnosis. In this article, we present a narrative review of the clinical and dermoscopic characteristics of FHD in SOC and provide diagnostic clues for the early diagnosis of these conditions. © 2026 AEDV.

Copyright © 2026 AEDV. Publicado por Elsevier España, S.L.U. All rights reserved.

Keywords

• antimalarial agent; diltiazem; imipramine; nonsteroid antiinflammatory agent; phenytoin; polymyxin B; sunitinib; tetracycline; voriconazole; acanthosis; acanthosis nigricans; Article; chloasma; clinical evaluation; clinical feature; dermatoscopy; diagnostic procedure; early diagnosis; exogenous ochronosis; frictional keratosis; human; hyperpigmentation; lichen (disease); medical history; Ota nevus; physical examination; postinflammatory hyperpigmentation; quality of life assessment; Riehl melanosis; seborrheic dermatitis; skin disease; skin examination