Riehl Melanosis Treatment & Management

  • Author: Helena A Longin, MD; Chief Editor: William D James, MD   more...
 
Updated: Aug 5, 2011
 

Medical Care

  • Complete avoidance of the suspected allergen is necessary, and removal of these agents often leads to gradual improvement.
  • Consider use allergen-free apparel, soaps, and cosmetics
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Consultations

  • Referral for cosmetic camouflage may be suggested if the cosmetic disability is distressing to the patient.
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Contributor Information and Disclosures
Author

Helena A Longin, MD  Resident Physician, Department of Dermatology, Naval Medical Center San Diego

Helena A Longin, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

Coauthor(s)

Elizabeth Kline Satter, MD, MPH  Chairman, Department of Dermatology, Naval Medical Center San Diego

Elizabeth Kline Satter, MD, MPH is a member of the following medical societies: Alpha Omega Alpha and American Medical Women's Association

Disclosure: Nothing to disclose.

Specialty Editor Board

John D Wilkinson, MD, MBBS, MRCS, FRCP  Chairman, Clinical Director, Department of Dermatology, Amersham Hospital and High Wycombe Hospital, UK

John D Wilkinson, MD, MBBS, MRCS, FRCP is a member of the following medical societies: American Academy of Dermatology and Royal College of Physicians

Disclosure: Nothing to disclose.

Richard P Vinson, MD  Assistant Clinical Professor, Department of Dermatology, Texas Tech University Health Sciences Center, Paul L Foster School of Medicine; Consulting Staff, Mountain View Dermatology, PA

Richard P Vinson, MD is a member of the following medical societies: American Academy of Dermatology, Association of Military Dermatologists, Texas Dermatological Society, and Texas Medical Association

Disclosure: Nothing to disclose.

Paul Krusinski, MD  Director of Dermatology, Fletcher Allen Health Care; Professor, Department of Internal Medicine, University of Vermont College of Medicine

Paul Krusinski, MD is a member of the following medical societies: American Academy of Dermatology, American College of Physicians, and Society for Investigative Dermatology

Disclosure: Nothing to disclose.

Catherine M Quirk, MD  Clinical Assistant Professor, Department of Dermatology, University of Pennsylvania

Catherine M Quirk, MD is a member of the following medical societies: Alpha Omega Alpha and American Academy of Dermatology

Disclosure: Nothing to disclose.

Chief Editor

William D James, MD  Paul R Gross Professor of Dermatology, University of Pennsylvania School of Medicine; Vice-Chair, Program Director, Department of Dermatology, University of Pennsylvania Health System

William D James, MD is a member of the following medical societies: American Academy of Dermatology and Society for Investigative Dermatology

Disclosure: Elsevier Royalty Other

Acknowledgments

The authors and editors of eMedicine acknowledge the contributions of previous author, Mohsin Ali, MBBS, FRCP, MRCP, to the development and writing of this article.

References

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  2. Rorsman H. Riehl's melanosis. Int J Dermatol. Mar 1982;21(2):75-8. [Medline].

  3. Nakayama H. Pigmented Contact Dermatitis and Chemical Depigmentation. In: Rycroft R, Menne T, Frosch P, Lepoittevin J, eds. Textbook of Contact Dermatitis. 3rd ed. New York, NY: Springer; 2001:319-333.

  4. Shenoi SD, Rao R. Pigmented contact dermatitis. Indian J Dermatol Venereol Leprol. Sep-Oct 2007;73(5):285-7. [Medline].

  5. Findlay GH. Some observations on the melanosis of Riehl. S Afr Med J. May 3 1952;26(18):373-5. [Medline].

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  9. Imokawa G, Kawai M. Differential hypermelanosis induced by allergic contact dermatitis. J Invest Dermatol. Dec 1987;89(6):540-6. [Medline].

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  11. Hayakawa R, Matsunaga K, Arima Y. Airborne pigmented contact dermatitis due to musk ambrette in incense. Contact Dermatitis. Feb 1987;16(2):96-8. [Medline].

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  15. Kozuka T, Tashiro M, Sano S, et al. Brilliant Lake Red R as a cause of pigmented contact dermatitis. Contact Dermatitis. Sep 1979;5(5):297-304. [Medline].

  16. Sugai T, Takahashi Y, Takagi T. Pigmented cosmetic dermatitis and coal tar dyes. Contact Dermatitis. Oct 1977;3(5):249-56. [Medline].

  17. Leow YH, Tan SH, Ng SK. Pigmented contact cheilitis from ricinoleic acid in lipsticks. Contact Dermatitis. Jul 2003;49(1):48-9. [Medline].

  18. Nath AK, Thappa DM. Kumkum-induced dermatitis: an analysis of 46 cases. Clin Exp Dermatol. Jul 2007;32(4):385-7. [Medline].

  19. Parodi G, Guarrera M, Rebora A. Lichenoid photocontact dermatitis to musk ambrette. Contact Dermatitis. Mar 1987;16(3):136-8. [Medline].

  20. Naganuma M, Hirose S, Nakayama Y, Nakajima K, Someya T. A study of the phototoxicity of lemon oil. Arch Dermatol Res. 1985;278(1):31-6. [Medline].

  21. Serrano G, Pujol C, Cuadra J, Gallo S, Aliaga A. Riehl's melanosis: pigmented contact dermatitis caused by fragrances. J Am Acad Dermatol. Nov 1989;21(5 Pt 2):1057-60. [Medline].

  22. Ozkaya-Bayazit E, Buyukbabani N. Non-eczematous pigmented interface dermatitis from para-tertiary-butylphenol-formaldehyde resin in a watchstrap adhesive. Contact Dermatitis. Jan 2001;44(1):45-6. [Medline].

  23. Trattner A, David M. Pigmented contact dermatitis from topical minoxidil 5%. Contact Dermatitis. Apr 2002;46(4):246. [Medline].

  24. Miyoshi K, Kodama H. Riehl's melanosis-like eruption associated with Sjogren's syndrome. J Dermatol. Dec 1997;24(12):784-6. [Medline].

  25. Perez-Bernal A, Munoz-Perez MA, Camacho F. Management of facial hyperpigmentation. Am J Clin Dermatol. Sep-Oct 2000;1(5):261-8. [Medline].

  26. Kobori T, Araki, Toda K. Photoleukomelanodermatitis (Kobori) caused by benzothiazidiazine derivatives. Jap J Dermatol. 1966;76:665.

 
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