Bilateral Symmetrical Oval Hyperpigmentation on the Face: A Case of Seborrheic Melanosis

Introduction: Seborrheic melanosis is one of the causes facial hyperpigmentation presenting in sebaceous areas face. It most commonly seen Fitzpatrick skin types 4 - 6. can cause cosmetic concerns for patients, leading them to seek bleaching methods that could also be hazardous them. Case Presentation: A 19-year-old male patient presented with dark brown spots on both sides his nasolabial folds. According examination, there were nummular oval macules and mild desquamation at junction fold supralabial area bilaterally. The applied an over-the-counter cream contained hydroquinone hyperpigmented month before he consulted our dermatology department. pigmentation was homogeneous, brown-black, showed no contrast under Wood’s light examination. Additionally, a seborrheic basement alar-supralabial anamnesis clinical findings supported diagnosis melanosis. Tacrolimus ointment 0.1% once per night isoconazole nitrate day prescribed as treatments month. water-based moisturizer sunscreen added treatment. Further, used peeling combination alpha-hydroxy acid 10% beta-hydroxy 2% two times week. Hyperpigmentation barely discernible face five months after beginning therapy. Conclusions: must distinguished from other melanoses order start appropriate To ensure effective treatment, comprehensive evaluation patient’s medical history thorough physical examination are essential accurate