Riehl melanosis - Melanosi Di Riehl
La Melanosi Di Riehl (Riehl melanosis) è una forma di dermatite da contatto, che inizia con prurito, eritema e pigmentazione che si diffonde gradualmente e, dopo aver raggiunto una certa estensione, diventa stazionaria. L'esposizione al sole dopo l'uso di alcuni profumi o creme può essere la causa della malattia.
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Riehl melanosis è spesso conosciuta come dermatite pigmentata da contatto. Si tratta di un tipo di condizione della pelle causata da allergie, solitamente innescate da fragranze e altre sostanze presenti nei prodotti cosmetici. Nonostante sia classificata come un tipo di dermatite, Riehl melanosis mostra alterazioni della pigmentazione della pelle, con solo lievi segni di irritazione. È più comune nelle persone con tonalità della pelle più scure. Ricerche recenti hanno esplorato l'efficacia del trattamento laser mid-fluence QSNY 1064-nm per affrontare la pigmentazione profonda associata a Riehl melanosis. Un altro studio ha combinato diverse terapie, tra cui laser low-fluence 1064-nm Q-switched Nd: YAG , crema all'idrochinone e acido tranexamico orale, ottenendo un miglioramento significativo per la maggior parte dei pazienti.
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 è un tipo di condizione della pelle causata dal contatto con determinati allergeni e dall'esposizione alla luce solare. Porta a una pigmentazione grigio-marrone rapida e progressiva della pelle, che può influenzare notevolmente i pazienti sia mentalmente che fisicamente. Sebbene la causa esatta di Riehl's melanosis sia ancora sconosciuta, la ricerca esistente indica un forte legame con l'esposizione agli allergeni. Per il trattamento sono stati provati sia i farmaci tradizionali che la terapia laser, spesso insieme all'uso di agenti sbiancanti applicati sulla pelle. La terapia laser, in particolare utilizzando il laser Q-switched Nd:YAG , ha mostrato risultati promettenti per il trattamento di Riehl's melanosis. La combinazione di diversi approcci terapeutici ha portato a risultati positivi.
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.
