Periorbital hyperpigmentation: a study of its prevalence, common causative factors and its association with personal habits and other disorders

Pratik B Sheth, Hiral A Shah, Jayendra N Dave, Pratik B Sheth, Hiral A Shah, Jayendra N Dave

Abstract

Background: Periorbital hyperpigmentation (POH) is one of the most commonly encountered conditions in routine dermatology practice. There are only few published studies about its prevalence, classification, and pathogenesis but none showing its association with habits, and other medical conditions in Indian patients.

Aims: To determine prevalence and type of POH, common causative factors, and its association with personal habits and other disorders within various age and sex groups.

Materials and methods: Two hundred patients attending the dermatology OPD were included in study and were subjected to detailed history, careful clinical and Wood's lamp examination, eyelid stretch test and laboratory investigations. Clinical photographs of all patients were taken.

Results: POH was most prevalent in 16-25 years age group (47.50%) and in females (81%) of which majority were housewives (45.50%). Commonest form of POH was constitutional (51.50%) followed by post inflammatory (22.50%). Lower eyelids were involved in 72.50%. Grade 2 POH was seen in 58%. Wood's lamp examination showed POH to be dermal in 60.50%. Faulty habits were observed viz. lack of adequate sleep (40%), frequent cosmetic use (36.50%), frequent eye rubbing (32.50%), and lack of correction for errors of refraction like myopia in 12% patients. Strong association of POH with stress (71%), atopy (33%) and family history (63%) was noted.

Conclusions: Periorbital hyperpigmentation is a multi-factorial entity. It is absolutely essential to classify the type of POH and determine underlying causative factors in order to direct appropriate measures for better and successful outcome in future.

Keywords: Dark circles; habits; infraorbital hyperpigmentation; periorbital.

Conflict of interest statement

Conflict of Interest: Nil.

Figures

Figure 1
Figure 1
Constitutional type of periorbital hyperpigmentation
Figure 2
Figure 2
Post inflammatory type of periorbital hyperpigmentation
Figure 3
Figure 3
Vascular type of periorbital hyperpigmentation
Figure 4
Figure 4
Shadow effect type of periorbital hyperpigmentation
Figure 5
Figure 5
Grade 1 type of periorbital hyperpigmentation
Figure 6
Figure 6
Grade 2 type of periorbital hyperpigmentation
Figure 7
Figure 7
Grade 3 type of periorbital hyperpigmentation
Figure 8
Figure 8
Grade 4 type of periorbital hyperpigmentation
Figure 9
Figure 9
Periorbital hyperpigmentation with pigmentary demarcation line F

References

    1. Freitag FM, Cestari TF. What causes dark circles under the eyes? J Cosmet Dermatol. 2007;6:211–5.
    1. Gendler EC. Treatment of periorbital hyperpigmentation. Aesthet Surg J. 2005;25:618–24.
    1. Goodman RM, Belcher RW. Periorbital hyperpigmentation. An overlooked genetic disorder of pigmentation. Arch Dermatol. 1969;100:169–74.
    1. Roh MR, Chung KY. Infraorbital dark circles: Definition, causes, and treatment options. Dermatol Surg. 2009;35:1163–71.
    1. Watanabe S, Nakai K, Ohnishi T. Condition known as “dark rings under the eyes” in the Japanese population is a kind of dermal melanocytosis which can be successfully treated by Q-swithched ruby laser. Dermatol Surg. 2006;32:785–9.
    1. Epstein JS. Management of infraorbital dark circles. A significant cosmetic concern. Arch Facial Plast Surg. 1999;1:303–7.
    1. Ranu H, Thng S, Goh BK, Burger A, Goh CL. Periorbital hyperpigmentation in Asians: An epidemiologic study and a proposed classification. Dermatol Surg. 2011;37:1297–303.
    1. Gathers RC. Periorbital hypermelanosis. In: Paul KA, editor. Dermatology for Skin of Color. 1st ed. New York: McGraw Hill; 2009. pp. 341–3.
    1. Dhepe N. Dark circles: Causes and treatments. The Aestheticians Journal. 2011;3:14–20.
    1. Strachan T, Read AP. Genes in pedigrees and population. In: Strachan T, editor. Human Molecular Genetics. 3rd ed. New York: Garland Science; 2003. pp. 106–7.
    1. Sarma N, Chakraborty S, Bhattacharya SR. Acquired, Idiopathic, Patterned Facial Pigmentation (AIPFP) including periorbital pigmentation and pigmentary demarcation lines on face follows the Lines of Blaschko on face. Indian J Dermatol. 2014;59:41–48.
    1. Malakar S, Lahiri K, Banerjee U, Mondal S, Sarangi S. Periorbital melanosis is an extension of pigmentary demarcation line-F on face. Indian J Dermatol Venereol Leprol. 2007;73:323–5.
    1. Boxrud CA, Sylvester DA. Infraorbital discoloration: Dark circles-an anatomic analysis and treatment. In: Mauriello JA, editor. Techniques in Cosmetic Eyelid Surgery: A Case Study Approach. 1st ed. Philadelphia: Lippincott Williams and Wilkins; 2004. pp. 291–305.

Source: PubMed

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