{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T18:51:48Z","timestamp":1780599108379,"version":"3.54.1"},"reference-count":20,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,2,15]],"date-time":"2021-02-15T00:00:00Z","timestamp":1613347200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Periorbital melanosis (POM) is an esthetic facial concern on increasing trend and has a severe emotional impact on patients. We aimed to study the clinical and dermoscopic patterns of periorbital melanosis to aid in the classification and strategize therapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional, observational study was conducted on one hundred patients with POM in a tertiary care center in India from January 2020\u2010March 2020. Dermoscopic assessment of POM was done using video dermatoscope\u2013 FotoFinder Medicam 1000s (magnification up to 140x).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age of participants was 32.8\u00a0\u00b1\u00a09\u00a0years. It was more prevalent among females (78%). The constitutional type (43%) of POM was the most common followed by shadow\u2010effect type (32%). The various dermoscopic pigmentary patterns seen were scattered pigmented dots (56%), exaggerated pigment network (31%), globules (30%), and blotches (27%). Dilated veins and telangiectasia were seen in 50% and 32% of subjects, respectively. Exaggerated skin markings were seen in 43% of participants. Scattered pigmented dots were most commonly seen in constitutional, vascular, and shadow types but were significantly associated with vascular type. Exaggerated pigment network was the most frequent pigmentary pattern in post\u2010inflammatory type of POM. Globules were significantly associated with constitutional as well as shadow type of POM and blotches with shadow type of POM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Periorbital melanosis presents as multifactorial entity with constitutional type being the most common. The dermoscopic patterns of POM may provide a clue to the underlying etiology, thereby helping to plan appropriate treatment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocd.13979","type":"journal-article","created":{"date-parts":[[2021,2,6]],"date-time":"2021-02-06T09:59:49Z","timestamp":1612605589000},"page":"2917-2923","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["A cross\u2010sectional study on clinico\u2010dermoscopic features of periorbital melanosis in a tertiary care hospital"],"prefix":"10.1111","volume":"20","author":[{"given":"Smera","family":"Ramakrishnan","sequence":"first","affiliation":[{"name":"Department of Dermatology, Venereology, and Leprosy Yenepoya Medical College Yenepoya (Deemed to be University) Mangalore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7523-6788","authenticated-orcid":false,"given":"Spandana P.","family":"Hegde","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology, and Leprosy Yenepoya Medical College Yenepoya (Deemed to be University) Mangalore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manjunath M.","family":"Shenoy","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology, and Leprosy Yenepoya Medical College Yenepoya (Deemed to be University) Mangalore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malcolm","family":"Pinto","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology, and Leprosy Yenepoya Medical College Yenepoya (Deemed to be University) Mangalore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amina A.","family":"M Iqbal","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology, and Leprosy Yenepoya Medical College Yenepoya (Deemed to be University) Mangalore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vishal B.","family":"Amin","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology, and Leprosy Yenepoya Medical College Yenepoya (Deemed to be University) Mangalore India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2,15]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1473-2165.2007.00324.x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.2009.01213.x"},{"key":"e_1_2_10_4_1","first-page":"49","article-title":"Periorbital Hyperpigmentation: A Comprehensive Review","volume":"9","author":"Sarkar R","year":"2016","journal-title":"J Clin Aesthet Dermatol"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.4103\/0378-6323.34009"},{"key":"e_1_2_10_6_1","first-page":"171","article-title":"Dermoscopy in periorbital hyperpigmentation: An aid in the clinical type diagnosis","volume":"6","author":"Ga\u00f3n NQ","year":"2014","journal-title":"Surg Cosmet Dermatology"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1473-2130.2004.00070.x"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.5826\/dpc.0901a10"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.2011.02065.x"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1258\/jhsrp.2010.009131"},{"issue":"2","key":"e_1_2_10_11_1","first-page":"245","article-title":"A clinico\u2010epidemiological study of periorbital melanosis. 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