Evaluation Work-Up and Management of New Onset Dyschromias: Treatment Paradigm
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Clinical Practice
1. Patients can be allergic to sodium metabisulfite, a preservative in hydroquinone. If a patient has any irritation with hydroquinone, they should stop using it.
2. Chemical peel protocol for melasma requires a series of superficial peels starting with the lowest concentration and titrating up with each peel, treating every four weeks for a total of 5-6 peels.
3. Lichen planus pigmentosus is associated with frontal fibrosing alopecia and is found on the face, neck, and occasionally on forearms.