Which skin condition can result in dully and blotchy patches specifically because of hormonal changes?

The skin condition that can result in dull and blotchy patches specifically due to hormonal changes is melasma. This condition is characterized by brown or gray-brown patches usually occurring on the face, particularly in areas like the cheeks, forehead, nose, and chin.

Melasma is often associated with fluctuations in hormones, especially during pregnancy, which is why it is sometimes referred to as the “mask of pregnancy.” Hormonal changes can trigger an overproduction of melanin, the pigment that gives skin its color, leading to the development of these patches.

In contrast, the other conditions listed do not typically present in the same way as melasma, especially in relation to hormonal changes. For instance, acne involves clogged pores and inflammation and can be aggravated by hormonal shifts but does not typically manifest as dull or blotchy patches. Albinism is a genetic condition resulting in little or no melanin production, producing light or white patches on the skin rather than a patchy appearance. Psoriasis is an autoimmune condition that leads to rapid skin cell turnover and scaly patches rather than hormonal-induced discoloration. Thus, melasma clearly aligns with the description of patches that result specifically from hormonal changes, making it the correct answer.