Riehl melanosis - Riehl Melanose
https://en.wikipedia.org/wiki/Riehl_melanosis
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References
Riehl Melanosis 32491369 NIH
Riehl melanosis staan 'n dikwels bekende gepigmenteerde kontakdermatitis. Dit is 'n tipe veltoestand wat veroorsaak word deur allergieë, meestal deur geure en ander stowwe in kosmetiese produkte. Ten spyte daarvan dat dit as 'n tipe dermatitis geklassifiseer word, toon Riehl melanosis pigmentasieveranderinge in die vel, met slegs geringe irritasies. Dit kom meer algemeen voor by mense met donkerder velkleure. Onlangse navorsing het die doeltreffendheid van 'mid‑fluence' QSNY 1064‑nm laserbehandeling ondersoek om die diep pigmentasie wat met Riehl melanosis geassosieer word, aan te spreek. Nog 'n studie het verskeie terapieë gekombineer, insluitend low‑fluence 1064‑nm Q‑switched Nd:YAG‑laser, hidrokinoonroom en orale traneksamensuur, wat vir die meeste pasiënte aansienlike verbetering tot gevolg gehad het.
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.
Research Advances in the Treatment of Riehl’s Melanosis 37168093 NIH
Riehl's melanosis is 'n tipe veltoestand wat veroorsaak word deur kontak met sekere allergene en deur blootstelling aan sonlig. Dit lei tot vinnige, progressiewe grysbruin pigmentasie van die vel, wat pasiënte geestelik en fisies grootliks kan beïnvloed. Terwyl die presiese oorsaak van Riehl's melanosis nog onbekend is, dui bestaande navorsing op 'n sterk verband met allergeenblootstelling. Vir die behandeling is beide tradisionele medikasie en laserterapie probeer, dikwels saam met die gebruik van bleikmiddels wat op die vel toegedien word. Laserterapie, veral met behulp van Q‑switched Nd:YAG laser, het belowende resultate getoon vir die behandeling van Riehl's melanosis. Die kombinasie van verskillende behandelingsbenaderings het tot positiewe uitkomste gelei.
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.