Riehl melanosis
Riehl melanosis adalah salah satu bentuk dermatitis kontak yang ditandai dengan pruritus, eritema, dan pigmentasi yang menyebar secara bertahap, kemudian menjadi statis setelah mencapai batas tertentu. Paparan sinar matahari setelah penggunaan parfum atau krim tertentu dapat memicu penyakit ini.
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ReferencesRiehl melanosis sering dikenal sebagai dermatitis kontak berpigmen. Kondisi ini disebabkan oleh alergi, biasanya dipicu oleh pewangi dan zat lain yang terdapat pada produk kosmetik. Meskipun termasuk jenis dermatitis, Riehl melanosis menimbulkan perubahan pigmentasi pada kulit dengan hanya sedikit tanda iritasi. Kondisi ini lebih sering terjadi pada orang dengan warna kulit yang lebih gelap. Penelitian terbaru telah mengeksplorasi efektivitas perawatan laser mid‑fluence QSNY 1064 nm untuk mengatasi pigmentasi mendalam yang terkait dengan Riehl melanosis. Penelitian lain menggabungkan berbagai terapi, termasuk laser low‑fluence 1064 nm Q‑switched Nd:YAG, krim hydroquinone, dan tranexamic acid oral, yang menghasilkan perbaikan signifikan pada sebagian besar pasien.
Riehl melanosis (RM), commonly called pigmented contact dermatitis, is considered an acquired form of allergic contact dermatitis, typically to fragrance and other ingredients of cosmetic products. Although it is considered as a dermatitis, it presents clinically with hyperpigmentation over the face and shows pigment incontinence with minimal eczematous changes on histology. The condition is more commonly seen in dark-skinned people, causing an important psychosocial impact. A recent study showing the higher effectiveness of mid-fluence QSNY 1064-nm laser in targetting the deep pigmentation of RM has also been conducted. Another study used a combination of therapies to include low-fluence, 1064-nm, Q-switched Nd: YAG laser, hydroquinone cream, and oral tranexamic acid, with the majority of patients experiencing significant improvement.
Riehl melanosis (RM), commonly called pigmented contact dermatitis, is considered an acquired form of allergic contact dermatitis, typically to fragrance and other ingredients of cosmetic products. Although it is considered as a dermatitis, it presents clinically with hyperpigmentation over the face and shows pigment incontinence with minimal eczematous changes on histology. The condition is more commonly seen in dark-skinned people, causing an important psychosocial impact. A recent study showing the higher effectiveness of mid-fluence QSNY 1064-nm laser in targetting the deep pigmentation of RM has also been conducted. Another study used a combination of therapies to include low-fluence, 1064-nm, Q-switched Nd: YAG laser, hydroquinone cream, and oral tranexamic acid, with the majority of patients experiencing significant improvement.
Riehl's melanosis adalah kondisi kulit yang disebabkan oleh kontak dengan alergen tertentu serta paparan sinar matahari. Kondisi ini menimbulkan pigmentasi kulit berwarna abu‑abu kecokelatan yang muncul secara cepat dan progresif, serta dapat sangat memengaruhi pasien baik secara mental maupun fisik. Meskipun penyebab pasti Riehl's melanosis belum diketahui, penelitian yang ada menunjukkan hubungan kuat dengan paparan alergen. Untuk pengobatannya, baik terapi tradisional maupun terapi laser telah dicoba, seringkali bersamaan dengan penggunaan bahan pemutih yang dioleskan pada kulit. Terapi laser, khususnya laser Q‑switched Nd:YAG, telah menunjukkan hasil yang menjanjikan untuk mengatasi Riehl's melanosis. Penggabungan pendekatan pengobatan yang berbeda telah menghasilkan hasil yang positif.
Riehl's melanosis (RM) is a contact photodermatitis, with fast progressive gray-brown skin pigmentation as the main manifestation, which can seriously affect the psychology and physiology of patients. Currently, although the etiological factors of Riehl's melanosis is still be unknown, the existing literature proves clearly the cause of it is related to the contacting with suspected allergens. For decades, there has been no standard method for the treatment of RM, but with both conventional drug therapy and laser therapy having been attempted. Topical application of bleaching agents is mainly used as an auxiliary treatment modality. The laser treatment modality remains a hot spot, among which Q-switched Nd:YAG laser is well received for RM. Positive outcomes have been achieved by the combined treatment modalities attempted in recent years also achieve positive outcomes.
Riehl's melanosis (RM) is a contact photodermatitis, with fast progressive gray-brown skin pigmentation as the main manifestation, which can seriously affect the psychology and physiology of patients. Currently, although the etiological factors of Riehl's melanosis is still be unknown, the existing literature proves clearly the cause of it is related to the contacting with suspected allergens. For decades, there has been no standard method for the treatment of RM, but with both conventional drug therapy and laser therapy having been attempted. Topical application of bleaching agents is mainly used as an auxiliary treatment modality. The laser treatment modality remains a hot spot, among which Q-switched Nd:YAG laser is well received for RM. Positive outcomes have been achieved by the combined treatment modalities attempted in recent years also achieve positive outcomes.
