{Reference Type}: Case Reports {Title}: A case of latanoprost-induced diffuse facial skin hyperpigmentation. {Author}: Kim HY;Lee SK;Lee JH;Suh JH;Kim MS;Lee UH; {Journal}: J Cosmet Dermatol {Volume}: 18 {Issue}: 6 {Year}: Dec 2019 {Factor}: 2.189 {DOI}: 10.1111/jocd.12920 {Abstract}: BACKGROUND: Latanoprost is a prostaglandin F2α analogue, which has been used as a first-line drug for open-angle glaucoma. Common side effects of latanoprost include hyperpigmentation. While it usually occurs on irides or periocular skin, diffuse facial hyperpigmentation is rarely reported.
METHODS: A 71-year-old woman was presented with diffuse gray-brown colored maculopatches on her face. The symptom appeared 1 week after she started to use latanoprost eye drops for glaucoma. Biopsy specimen revealed vacuolar degeneration of dermo-epidermal junction and pigment incontinence in dermis.
OBJECTIVE: The aim of this paper is to introduce a rare adverse effect of latanoprost and effective way of treatment.
METHODS: We stopped her from using latanoprost. She was also treated with 532-nm potassium titanyl phosphate laser and low-fluence 1064-nm Q-switched Nd:YAG laser, while using topical agents.
RESULTS: After 10 weeks, we observed hyperpigmentation of her face was effectively and safely treated. The patient was satisfied with the result.
CONCLUSIONS: Diffuse facial pigmentation could be one of the latanoprost-induced adverse effects and the laser treatments with topical agents we used can make it improve faster.