Maturational hyperpigmentation: An update

Abstract

Maturational hyperpigmentation is a form of acquired idiopathic facial melanosis, which is a relatively recently described entity, mainly seen in middle-aged individuals. Apart from its disturbing nature due to significant psychosocial impact and cosmetic concern, it is also believed to be associated with a metabolic syndrome similar to facial acanthosis nigricans. While both these disorders are close differentials of each other and could represent the same spectrum, there are significant differences between both. It is therefore important to raise awareness among dermatologists so as not to miss this relatively new, under-recognized, and frequently misdiagnosed entity.