What is the role of medications in the treatment of Riehl melanosis (pigmented contact dermatitis)?

Updated: May 27, 2021
  • Author: Elizabeth K Satter, MD, MPH; Chief Editor: William D James, MD  more...
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Answer

Topical treatments similar to those used to treat melasma may hasten the resolution of the hyperpigmentation, including 2-5% hydroquinone and tretinoin, either on their own or in combination, and azelaic acid. [37]

In addition, pilot studies have shown oral tranexamic acid and compounded glycyrrhizin may also be of benefit. [53, 55]

Lastly, chemical peels and various lasers are alternative treatment options to be used on their own or in combination with the above medical therapies. [37, 53, 55]


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