Cross-sectional pilot study of clinical and histopathological features of periorbital dark circles in South Asians

Background: Periorbital dark circles are common in all races. Proposed causes include increased vasculature, tear-trough deformity, pigmentary demarcation lines, spongiotic dermatitis, lichenoid dermatitis, acanthosis nigricans, post-inflammatory hyperpigmentation, and heredity. Aims: To evaluate th...

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Main Authors: Tara Rao, Allison L Wang, Ildiko Polyak, Jag Bhawan, Amit G Pandya
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Pigment International
Subjects:
Online Access:http://www.pigmentinternational.com/article.asp?issn=2349-5847;year=2021;volume=8;issue=3;spage=153;epage=158;aulast=Rao
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author Tara Rao
Allison L Wang
Ildiko Polyak
Jag Bhawan
Amit G Pandya
author_facet Tara Rao
Allison L Wang
Ildiko Polyak
Jag Bhawan
Amit G Pandya
author_sort Tara Rao
collection DOAJ
description Background: Periorbital dark circles are common in all races. Proposed causes include increased vasculature, tear-trough deformity, pigmentary demarcation lines, spongiotic dermatitis, lichenoid dermatitis, acanthosis nigricans, post-inflammatory hyperpigmentation, and heredity. Aims: To evaluate the clinical features and histopathological features of dark circles compared to nearby unaffected skin in South Asians. Methods: Clinical evaluation, skin biopsies, and narrow-band reflectance spectrophotometry of periorbital dark circles and nearby unaffected skin were performed on all subjects. Results: There was a positive correlation between the clinical severity of dark circles and increased melanin based on spectrophotometry. Histological evaluation showed increased dermal melanin content in dark circles compared to normal skin. Limitations: Single-center pilot study. Conclusion: Dark circles in this cohort of South Asians are associated with increased dermal melanin. Other contributing factors may include exaggerated tear trough depression, translucency of eyelid skin, and pigmentary demarcation lines.
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spelling doaj.art-2fef4371fa8e427f91d9f89c29cd49722022-12-22T03:31:47ZengWolters Kluwer Medknow PublicationsPigment International2349-58472349-57822021-01-018315315810.4103/Pigmentinternational.Pigmentinternational_31_20Cross-sectional pilot study of clinical and histopathological features of periorbital dark circles in South AsiansTara RaoAllison L WangIldiko PolyakJag BhawanAmit G PandyaBackground: Periorbital dark circles are common in all races. Proposed causes include increased vasculature, tear-trough deformity, pigmentary demarcation lines, spongiotic dermatitis, lichenoid dermatitis, acanthosis nigricans, post-inflammatory hyperpigmentation, and heredity. Aims: To evaluate the clinical features and histopathological features of dark circles compared to nearby unaffected skin in South Asians. Methods: Clinical evaluation, skin biopsies, and narrow-band reflectance spectrophotometry of periorbital dark circles and nearby unaffected skin were performed on all subjects. Results: There was a positive correlation between the clinical severity of dark circles and increased melanin based on spectrophotometry. Histological evaluation showed increased dermal melanin content in dark circles compared to normal skin. Limitations: Single-center pilot study. Conclusion: Dark circles in this cohort of South Asians are associated with increased dermal melanin. Other contributing factors may include exaggerated tear trough depression, translucency of eyelid skin, and pigmentary demarcation lines.http://www.pigmentinternational.com/article.asp?issn=2349-5847;year=2021;volume=8;issue=3;spage=153;epage=158;aulast=Raodark circlesmelaninmelanocytesperiorbitalpigmentary demarcation linespigmentationskin of colorsouth asian
spellingShingle Tara Rao
Allison L Wang
Ildiko Polyak
Jag Bhawan
Amit G Pandya
Cross-sectional pilot study of clinical and histopathological features of periorbital dark circles in South Asians
Pigment International
dark circles
melanin
melanocytes
periorbital
pigmentary demarcation lines
pigmentation
skin of color
south asian
title Cross-sectional pilot study of clinical and histopathological features of periorbital dark circles in South Asians
title_full Cross-sectional pilot study of clinical and histopathological features of periorbital dark circles in South Asians
title_fullStr Cross-sectional pilot study of clinical and histopathological features of periorbital dark circles in South Asians
title_full_unstemmed Cross-sectional pilot study of clinical and histopathological features of periorbital dark circles in South Asians
title_short Cross-sectional pilot study of clinical and histopathological features of periorbital dark circles in South Asians
title_sort cross sectional pilot study of clinical and histopathological features of periorbital dark circles in south asians
topic dark circles
melanin
melanocytes
periorbital
pigmentary demarcation lines
pigmentation
skin of color
south asian
url http://www.pigmentinternational.com/article.asp?issn=2349-5847;year=2021;volume=8;issue=3;spage=153;epage=158;aulast=Rao
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