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A global survey of the role of ultraviolet radiation and hormonal influences in the development of melasma
Journal of the European Academy of Dermatology and Venereology, 10/22/09

Ortonne JP et al. – The results suggest that, whilst accepted causes do affect onset of melasma, a combination of these factors often triggers this disorder. These factors may provide further insights into how physicians can manage individual melasma cases, support recommendation of preventative measures and even anticipate treatment results and recurrence.

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