Riehl melanosis - Riehl 黒皮症
Riehl 黒皮症 (Riehl melanosis) は接触皮膚炎の一種で、かゆみ、紅斑、色素沈着から始まり、徐々に広がり、ある程度の範囲に達すると定常化します。香水やクリームの使用後に日光に当たると、病気の原因となる可能性があります。
References
Riehl melanosis は、色素性接触皮膚炎としてよく知られています。これはアレルギーによって引き起こされる皮膚疾患の一種で、通常は化粧品に含まれる香料やその他の物質によって引き起こされます。皮膚炎の一種として分類されているにもかかわらず、 Riehl melanosis は皮膚の色素沈着の変化を示し、刺激の兆候はわずかしかありません。肌の色が濃い人によく見られます。最近の研究では、 Riehl melanosis に関連する深い色素沈着に対処するための mid-fluence QSNY 1064-nm レーザー治療の有効性が調査されています。別の研究では、 low-fluence 1064-nm Q-switched Nd: YAG レーザー、ハイドロキノンクリーム、経口トラネキサム酸などのさまざまな治療法を組み合わせた結果、ほとんどの患者に大幅な改善が見られました。
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 は、特定のアレルゲンとの接触や日光への曝露によって引き起こされる皮膚疾患の一種です。それは急速かつ進行性の皮膚の灰褐色の色素沈着を引き起こし、患者の精神的にも肉体的にも大きな影響を与える可能性があります。 Riehl's melanosis の正確な原因はまだ不明ですが、既存の研究では、アレルゲンへの曝露との強い関連性が示されています。治療には、伝統的な薬物療法とレーザー療法の両方が試みられ、多くの場合、皮膚に塗布される漂白剤の使用も併用されています。レーザー治療、特に Q-switched Nd:YAG レーザーを使用した治療は、 Riehl's melanosis の治療に有望な結果を示しています。さまざまな治療アプローチを組み合わせることで、良い結果が得られています。
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.
