skin complexion and pigmentary disorders in facial

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    Skin complexion and pigmentary

    disorders in facial

    skin of 1204 women in 4 Indian cities

    Virginie Hourblin,

    Research Engineer, 2Avenue Eugne Schueller,

    93601 Aulnaysousbois,

    rance!

    E"ail# vhourblin$r%!loreal!co"

    &hicilia 'in%ia (anu 'i)aya2010*30020

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    'arna +uli %an -angguan .ig"enasi +uli'a)ah /a%a 120 'ania %i +oa n%ia

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    aar ela4ang

    'arna 4uli yang beraga" %angangguan /ig"en, "en)a%i /erhaian5ania n%ia!

    Su%i enang 4eberaga"an )enis4uli belu" %i/erbaharui!

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    (u)uan

    Untuk menggambarkan karakteristik warna

    kulit wajah pada wanita India dalam hal

    gangguan kulit dan pigmen secara

    keseluruhan

    Untuk menge!aluasi keterkaitan usia pada

    temuan ini

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    eo%e

    Sub)e4 # 102 5ania usia 1787 hn%ari 4oa n%ia # &hennai, u"bai,+ol4aa, %an elhi!

    Se4iar 300 subye4 /er 4oa %engan2:827 /ere"/uan %i "asing8"asing11 4elo"/o4 u"ur!

    17822:82930833:83908:89:08:960866:869;*0

    :

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    eo%e

    +rieria e4s4lusi # < 17 ahun, ha"il,"e"ili4i /enya4i lain yang%i/erlu4an /era5aan sela"a

    /erio%e evaluasi %an "e"ili4i/enya4i %engan risi4o /enularaninggi!

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    .enilaian er"aologis =4linis %an/a%a Visia &R /icure>

    Se"ua /enilaian 4linis %ila4u4an oleh%ua %er"aologiss# sau %i u"bai%an lainnya %i &hennai, elhi, %an

    +ol4aa!

    ?nu4 "e"ini"al4an e@e4/enega44an %iagnosa, %o4er 4uli

    yang sa"a %ari 4elo"/o4 4a"i ha%irsela"a inisiasi su%i %i "asing8"asing 4oa %an %ilaih bai4

    %er"aologiss su%i "engenai 4linis*

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    oo8@oo 5a)ah %ari seia/ subye4 %ia"bil%engan Visia &R booh =&anel%l"iah,airel%, ?SA>!

    Sise" ini %iguna4an unu4 "enang4a/ga"bar 5a)ah san%ar %i berbagai 4on%isi/encahayaan =san%ar, cross8er/olarisasi,/aralel8er/olarisasi, %an ulraviole =?V>>%an %ari iga su%u yang berbe%a =4iri,%e/an, %an 4anan>! Se"ua @oo8@oo %inilaioleh %o4er 4uli %ari seia/ 4elo"/o4!

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    .engu4uran nsru"enal =&hro"a"eer>

    .erang4a ini "engu4ur inensias cahayayang %i/anul4an %an 5arna /er"u4aan4uli! .er"u4aan 4uli %ierangi %engan

    cahaya /oli4ro"ai4 %an sinyal %ari 4uliercer"in 4e %ala" /erang4a %an%i/isah4an "en)a%i 4o"/onen s/e4ral"engguna4an B a B b B !

    Se"ua /engu4uran %ila4u4an oleh e4nisiyang sa"a %i seia/ 4oa %an %iulang iga4ali /er %aerah!

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    Analisis Saisi4

    Analisis Saisi4 Syse" =SAS> 9!3%iguna4an unu4 "ela4u4an analisis%es4ri/i@ =gras %an abel> unu4

    se"ua %es4ri/or! Analisis yang%ia"/il4an oleh usia %an 4oa!.robabilias .

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    Hasil =5arna 4uli>

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    12

    .a%a 4elo"/o4 u"bai,

    yang ber5arna 4uli/aling erang C'heaishC%an C"e%ia co4elaCa%alah yang /aling laDi"= F 13: =:G> %an F103 =3G>, "asing8

    "asing>!

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    13

    .a%a 4elo"/o4 elhi,

    Cco4elaC %an C"e%iaco4elaC yang /alingu"u" = F 117 =1G>%an F 9* =3G>,"asing8"asing>!

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    1

    .a%a 4elo"/o4 +ol4aa,

    C&o4elaC %an Cco4ela"e%iu"C yang /alinglaDi" = F 11: =3*G>%an F 121 =39G>,se%ang4an /a%a4elo"/o4 &hennai, yang

    ber5arna 4uli Cco4elaC%an Cco4la gela/C a%alahyang /aling u"u" = F11* =37G> %an F 110=36G>,

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    arna u secara ese uru ani%a4 banya4 berubah %engan

    usia!

    1:

    Anara 17 %an 3: ahun, a%a /enurunan yang sanga ren%ah %ala"4ecerahan = B> /a%a 4e%ua @oo8ere4s/ose %an @oo 4uli 8erlin%ungi!I-a"bar 3bJ!

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    arna u secara ese uru ani%a4 banya4 berubah %engan

    usia!

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    Seelah 3: ahun, 4uli "en)a%i se%i4i lebih sabil %engan usia /a%abi%ang @oo 4uli8e4s/ose %an @oo 4uli8%ilin%ungi =brighness B"ening4a 6G>, se"enara iu "en)a%i ha"/ir gela/ /a%a @oo8area

    erlin%ungi =brighness B "enurun 2G>!

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    -angguan /ig"enasi

    1*

    .enilaian 4linis "engung4a/4an bini4 hi/er/ig"enasi %i

    5a)ah /a%a se"ua 5ania I-a"bar J!

    Analisis %es4ri/i@%ari gangguan/ig"en beri4u

    i%a4"engung4a/4an

    /erbe%aan yangberari %i seia/

    4oa!

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    .ro/orsi bini4 hi/er/ig"enasi

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    'ania yang "e"ili4i lebih %ari 10 hi/er/ig"enasi bini48bini4 %i 5a)ah a%alah lebih %ari *0G = F *07K976> /a%a5ania %i aas 30 ahun I-a"bar :aJ!

    Sebelu" usia 0 ahun, sebagian besar bini48bini4 4ecila%alah an%a /asca8inLa"asi a4iba )era5a!Seelah usia 30 ahun, lenigines yang ercaa %i 760 =7*G>5ania a/i iu suli unu4 "e"be%a4an lenigines se%erhana%ari lenigines acinic!anya4 4eraosis seboroi4 )uga %ia"ai /a%a 677 =*0G>/ere"/uan!

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    .enilaian %ari @oo8@oo "enegas4an bah5aha"/ir se"ua 5ania "e"ili4i bini48bini4hi/er/ig"enasi %i %ahi, "alar, %an %aerah

    "an%ibula I-a"bar :bJ! alar a%alah %aerah yang /aling sering erliba

    %engan 69: =70G> 5ania %i aas 3: ahun risi4o"o%erae!

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    l % b 4 4 l

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    elas"a %an berca4 "a4ulaber/ig"en =ill%ene% /achy

    /ig"ene% "acules>

    .enilaian 4linis "engung4a/4an "elas"a %i banya45ania I-a"bar 6J %engan /revalensi /unca4 se4iar

    30G = F 1*K:*> /a%a 5ania berusia %ari 0sa"/ai 6: ahun I-a"bar *J!

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    l % b 4 4 l

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    elas"a %an berca4 "a4ulaber/ig"en =ill%ene% /achy

    /ig"ene% "acules>

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    .revalensi "elas"a %ala" su%iu"bai a%alah 2*,*G = F 73>,%iban%ing4an %engan yang lain %i

    "ana /revalensi a%alah 1:,3G = F*> %ala" 4elo"/o4 &hennai, 1*,1G= F 9> %i elhi 4elo"/o4 %an

    1:,6G = F 7> /a%a 4elo"/o4+ol4aa! .erbe%aan ini signi4ansecara saisi4 =. !

    l % b 4 4 l

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    elas"a %an berca4 "a4ulaber/ig"en =ill%ene% /achy

    /ig"ene% "acules>

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    Evaluasi @oo "engung4a/4an4eha%iran %ari )enis lainhi/er/ig"enasi /a%a 5a)ah# "a4ula

    ber/ig"en i%a4 )elas! esi ersebulebih besar %ari/a%a e"/ahi/er/ig"enasi, ber"arginasi buru4

    %an "enun)u44an /ig"enasiberane4a raga"!

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    elas"a %an berca4 "a4ula ber/ig"en=ill%ene% /achy /ig"ene% "acules>

    ere4a berbe%a %ari"elas"a si"eris %ari

    yang biasanya!.revalensi "o%era

    ersebu %engan an%a/ening4aan /ig"en"a4ula erha%a/ usia,erua"a /a%a %aerah"alar I-a"bar 7J %i

    hingga *0G/ere"/uan =.

    !

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    ini4 hi/o/ig"enasi

    2

    11* /ere"/uan=4urang %ari

    10G>"enun)u44an

    gangguanhi/o/ig"enasi! +on%isi ua"ayang ercaa

    a%alah "a4ulahi/o/ig"enasi/asca8inLa"asi

    %an /iiriasisalba I(abel 1J!

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    Penilaian klinis daerah hiperpigmentasi

    2:

    engung4a/4an bah5a ha"/ir se"ua 5ania "e"ili4iling4aran hia" /a%a 4elo/a4 "aa aas %an ba5ah, %engan

    inensias yang "ening4a %engan usia I-a"bar 9aJ!

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    .ro/orsi 5ania %enganling4aran gela/ se%angsa"/ai bera /a%a

    4elo/a4 "aa bagian aas"ening4a %engan usia:0G = F :2K107> 4e 7:G= F 9K111> I-a"bar10J! Evaluasi @oogra"enegas4an bah5a 107:=91G> 5ania "e"ili4i%aerah /eriorbial gela/!

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    .e"bahasan

    .eneliian %e Rigal e al "ene"u4anbah5a /enuaan i%a4 "e"/engaruhisecara signi4an 5arna 4uli! +uli

    gela/ %engan usia sebelu"nya elah%i)elas4an %ala" berbagai /o/ulasi,"isalnya, 4elo"/o4 &ina yang

    inggal %i &hicago

    2*

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    ebera/a %aerah 5a)ah"enun)u44an hi/er/ig"enasiho"ogen, %i /eriorbial 4hususnya,

    /erilabial, %an %aerah hi%ung! ebih%ari :0G 5ania @o4us /a%ahi/er/i"enasi ini, "ening4a4an

    hingga 70G seelah usia 3: ahun! elanosis /eriorbial a%alah banya4

    %an er)a%i /a%a 4uli orang n%ia!

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    +esi"/ulan

    ah5a 5arna 4uli 5a)ah secara4eseluruhan sanga i%a4%i/engaruhi oleh usia!

    -angguan hi/er/ig"enasi "uncul/a%a a5al 4ehi%u/an %an "ening4aseiring bera"bahnya usia iu a%alah

    4ei%a4raaan 4eseluruhan/ig"enasi 5a)ah!

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