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Caption: MODEL RELEASED. Chloasma on a 43 year old woman's cheek. Also called melasma, these large, brown patches on the skin are caused by a localised increase in the dark pigment melanin. The condition often occurs during pregnancy, as a side effect of oral contraceptives or hormone replacement therapy (HRT) medications. The patches usually occur on the forehead, temples and cheeks and are harmless.

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Keywords: 40s, 43, adult, caucasian, cheek, chloasma, close-up, condition, darken, darkened, darker, dermal, dermatological, dermatology, detail, discolouration, disease, disorder, face, female, forties, healthcare, hormone replacement therapy, hrt, human, human body, medical, medicine, melanin, melasma, oral contraceptive, patch, patches, patient, people, person, pigment, pigmentation, pill, pregnancy, side effect, skin, white, woman

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