Skin SciencesQuestion 41 of 100

A client shows symmetrical brown patches across the cheeks and upper lip that appeared during pregnancy. What is the most likely condition and the most important home care advice?

a.Rosacea; avoid all moisturizers
b.Vitiligo; increase sun exposure
c.Melasma; use daily broad-spectrum sun protection because UV and heat worsen the pigmentation
d.Eczema; apply an exfoliating acid twice daily

Explanation

Melasma is a hormonally influenced hyperpigmentation that typically appears as symmetrical patches on the cheeks, forehead, and upper lip and is strongly aggravated by UV exposure and heat, so daily broad-spectrum sunscreen is the foundation of any protocol. Rosacea presents as redness and papules, vitiligo is a loss of pigment, and eczema is an inflammatory dermatitis, none of which match the description.

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