Rethinking Corticosteroids in the Kligman-Willis Formula for Melasma.
Landau M, Grant-Kels JM, Bageorgou F, Sarkar R, Goldust M
International Journal of DermatologyIn the feed 8 Aug 2026, published online 7 Aug 2026, issue 2026 Aug 07, added to PubMed 8 Aug 2026
Topics: Pigmentary disordersTopical treatments
Abstract
Melasma necessitates effective long-term management that goes beyond initial treatment. Although the Kligman-Willis triple combination is the standard induction therapy, prolonged use of corticosteroids raises safety concerns. We propose a maintenance strategy that spares corticosteroids while still utilizing a formulation that has been proven over the years to be the most effective for treating melasma. This approach aims to enhance safety by omitting corticosteroids.
Abstract from PubMed
PMID 42568125 · DOI 10.1111/ijd.70630