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Factors that contribute to its development include: Hormonal fluctuations (pregnancy, birth control pills, hormone therapy) Genetic predisposition UV exposure and photoaging Emotional stress Sleep disturbances Photosensitizing medications Chronic inflammation What makes melasma particularly frustrating is its multifaceted nature

Blue Nevi Blue Nevi Blue nevi represent benign proliferations of dendritic dermal melanocytes that produce melanin