{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T11:58:49Z","timestamp":1781265529025,"version":"3.54.1"},"reference-count":97,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100010558","name":"Beiersdorf","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100010558","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"abstract":"ABSTRACT<\/jats:title>\n Hyperpigmentation disorders are prevalent in individuals with skin of color and are associated with considerable psychosocial impact. Clinical heterogeneity, chronic relapsing course, and limited evidence often result in suboptimal outcomes. This consensus aimed to develop evidence\u2010informed, expert consensus recommendations for the diagnosis and management of common hyperpigmentation disorders in the Indian context. A modified Delphi study was conducted by Indian experts of the Pigmentary Disorders Society (PDS) between August 2025 and January 2026. Twelve dermatologists with expertize in pigmentary disorders participated. An exploratory round identified four priority conditions: melasma, acquired dermal macular hyperpigmentation, post\u2010inflammatory hyperpigmentation, and periorbital hyperpigmentation. A broad literature review informed the development of the statements. Two rounds of anonymous voting using a 5\u2010point Likert scale and a virtual meeting were undertaken. Consensus was predefined as high (\u2265\u200975%), moderate (55%\u201374%), or low (<\u200955%). In Round 1, 34 statements were evaluated; 21 achieved high consensus, 9 moderate, and 4 low. Following the virtual discussion and refinement, 11 revised statements were revoted on in Round 2, resulting in 32 final high\u2010consensus statements. Key recommendations emphasized proactive prevention and relapse minimization in Fitzpatrick skin types III\u2013VI, the use of dermoscopy and Wood's lamp for aiding diagnosis, and the use of histopathology when indicated. Overall, the consensus favored combination approaches targeting melanogenesis, inflammation, and photoprotection. The panel also outlined preferred topical, oral, and procedural options based on existing evidence and clinical experience. Overall, this consensus provides contextualized guidance for major hyperpigmentation disorders, emphasizing individualized and multimodal management.<\/jats:p>\n \n \n \n image<\/jats:alt-text>\n <\/jats:graphic>\n <\/jats:boxed-text>\n <\/jats:p>","DOI":"10.1111\/ijd.70531","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T11:21:18Z","timestamp":1781263278000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Expert Consensus on the Management of Hyperpigmentation Disorders in India: A Modified Delphi Study by the Pigmentary Disorders Society"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8768-4879","authenticated-orcid":false,"given":"Rashmi","family":"Sarkar","sequence":"first","affiliation":[{"name":"Department of Dermatology Vardhman Mahavir Medical College (VMMC) and Safdarjung Hospital New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9912-0085","authenticated-orcid":false,"given":"Sunil","family":"Dogra","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Leprology Postgraduate Institute of Medical Education and Research (PGIMER) Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0423-7588","authenticated-orcid":false,"given":"Surabhi","family":"Sinha","sequence":"additional","affiliation":[{"name":"Department of Dermatology Lady Hardinge Medical College & Associated SSK and KSC Hospitals New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6323-4988","authenticated-orcid":false,"given":"Keshavamurthy","family":"Vinay","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Leprology Postgraduate Institute of Medical Education and Research (PGIMER) Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9589-083X","authenticated-orcid":false,"given":"Indrashis","family":"Podder","sequence":"additional","affiliation":[{"name":"Department of Dermatology College of Medicine and Sagore Dutta Hospital Kolkata India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0841-9597","authenticated-orcid":false,"given":"Anupam","family":"Das","sequence":"additional","affiliation":[{"name":"Department of Dermatology KPC Medical College and Hospital Kolkata India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8845-283X","authenticated-orcid":false,"given":"Bhavesh","family":"Swarnkar","sequence":"additional","affiliation":[{"name":"Department of Dermatology Swarnkar Superspeciality Center Indore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9593-8875","authenticated-orcid":false,"given":"B. S.","family":"Chandrashekar","sequence":"additional","affiliation":[{"name":"Department of Dermatology CUTIS Academy of Cutaneous Sciences Bangalore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7481-2330","authenticated-orcid":false,"given":"Hitaishi","family":"Mehta","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Leprology Postgraduate Institute of Medical Education and Research (PGIMER) Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8122-0368","authenticated-orcid":false,"given":"Madhuri","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Dermatology Yavana Skin & Hair Clinic Mumbai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8091-101X","authenticated-orcid":false,"given":"Muthu Sendhil","family":"Kumaran","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Leprology Postgraduate Institute of Medical Education and Research (PGIMER) Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2180-3451","authenticated-orcid":false,"given":"Sonali","family":"Langar","sequence":"additional","affiliation":[{"name":"Department of Dermatology & Cosmetology Skin Remedies Clinic and Laser Center Noida India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3022-5169","authenticated-orcid":false,"given":"Seemal R.","family":"Desai","sequence":"additional","affiliation":[{"name":"Department of Dermatology University of Texas Southwestern Medical Center Dallas Texas USA"},{"name":"Innovative Dermatology Plano Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,12]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"crossref","first-page":"1127","DOI":"10.1007\/s13555-023-00915-1","article-title":"Self\u2010Esteem, Depression, Anxiety and Quality of Life in Patients With Melasma Living in a Sunny Mediterranean Area: Results From a Prospective Cross\u2010Sectional Study","volume":"13","author":"Platsidaki E.","year":"2023","journal-title":"Dermatology and Therapy"},{"key":"e_1_2_12_3_1","doi-asserted-by":"crossref","first-page":"11","DOI":"10.7573\/dic.2021-11-2","article-title":"Dermatology: How to Manage Facial Hyperpigmentation in Skin of Colour","volume":"11","author":"Moolla S.","year":"2022","journal-title":"Drugs Context"},{"key":"e_1_2_12_4_1","doi-asserted-by":"crossref","first-page":"4839","DOI":"10.3390\/molecules28124839","article-title":"Skin Pigmentation Types, Causes and Treatment\u2010A Review","volume":"28","author":"Thawabteh A. 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