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. 2023 Jun 24;15(6):e40908. doi: 10.7759/cureus.40908

Table 1. Shows grade of melasma and hyperpigmentation.

Score Melasma Grade Hyperpigmentation Grade
0 Normal skin color without evidence of hyperpigmentation Normal skin color without evidence of hyperpigmentation
1 Barely visible hyperpigmentation Specks of involvement
2 Mild hyperpigmentation Small patchy areas of involvement <1.5 cm diameter
3 Moderate hyperpigmentation Patches of involvement >2 cm diameter
4 Severe hyperpigmentation Uniform skin involvement without any clear areas