Melasma Differential Diagnosis

Last updated: 08 August 2025

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Differential Diagnosis

The different diseases that should be ruled out in the diagnosis of melasma are:

  • Actinic lichen planus
  • Acanthosis nigricans
  • Discoid lupus erythematosus
  • Drug-induced photosensitivity
  • Exogenous ochronosis
  • Frictional melanosis
  • Mastocytosis
  • Nevi of Ito and Ota
  • Pigmented contact dermatitis (Riehl’s melanosis)
  • Poikiloderma of Civatte
  • Postinflammatory hyperpigmentation
  • Solar lentigines