Riehl Melanosis

Overview

4 out of 5 (1 Reviews)

Credits

1.00

Post Assessment Questions

10

Start Date

1 Jan 2021

Last Review Date

8 Apr 2024

Expiration Date

31 Dec 2023

Estimated Time To Finish

60 Minutes


 
Need Help?  If you have a system or content concerns, please contact support@statpearls.com

Activity Description

Riehl melanosis is an acquired pigmentary disorder that predominantly affects darker-skinned individuals, particularly older women. This condition is characterized by brown-gray reticulated-to-diffuse hyperpigmented macules or patches on the face, neck, and upper chest. Riehl melanosis is believed to result from a type IV hypersensitivity reaction triggered by contact allergens such as personal fragrances, textiles, and cosmetics. However, genetic factors, autoimmune conditions, and UV light exposure may also contribute to the condition's development. Management involves allergen avoidance, sun protection, and various tailored topical, oral, and procedural therapies to meet individual patient needs. Regular monitoring using the dermal pigmentation area and severity index (DPASI) is necessary to gauge treatment efficacy and mitigate potential psychosocial impacts.

Despite the distinctive clinical presentation of Riehl melanosis, a thorough evaluation is necessary for its differential diagnosis, including skin biopsy, dermoscopy, and reflectance confocal microscopy. This is crucial to differentiate it from similar conditions within the spectrum of acquired dermal macular hyperpigmentation, such as erythema dyschromicum perstans and lichen planus pigmentosus. Although pigmented contact dermatitis bears similarities to Riehl melanosis, the extent of inflammation observed creates the distinctions between them. A definitive treatment or cure for Riehl melanosis remains elusive, and outcomes may vary depending on the chosen modality. This activity provides healthcare professionals with the necessary knowledge and tools to accurately diagnose, effectively manage, and prevent adverse effects of the condition, ultimately enhancing patient outcomes and quality of life.


Target Audience

This activity has been designed to meet the educational needs of physicians.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Identify the clinical manifestations and characteristic features of Riehl melanosis.

  • Screen patients presenting with hyperpigmented macules or patches for potential Riehl melanosis through accurate diagnostic techniques.

  • Select the most suitable treatment modalities based on patient preference, disease severity, and comorbidities.

  • Collaborate with other healthcare professionals to optimize patient care and treatment outcomes, ensuring effective management and addressing any complications or relapses promptly and effectively.

Disclosures

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) requires instructors, planners, managers, and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they or their immediate family may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by CUSOM for resolution, to ensure fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

CUSOM will identify, review, and resolve all conflicts of interest that faculty, authors, activity directors, planners, managers, peer reviewers, or relevant staff disclose prior to an educational activity being delivered to learners. Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation. Disclosure information for authors, editors, planners, peer reviewers, and/or relevant staff is provided with this activity.

Continuing Education Accreditation Information

 

 

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. CUSOM designates this enduring material for a maximum of 1.00 AOA Category 1 B Credits and will report CME credits commensurate with the extent of the physician's participation in the activity.

Cancellation Policy: Cancellations must be received in writing and a money back guarantee is provided if not completely satisfied.

  • StatPearls and CUSOM reserve the right to cancel any course due to unforeseen circumstances. StatPearls and CUSOM will not be responsible for other expenses incurred by the participant in the unlikely event that the program is canceled.

Equal Opportunity

  • StatPearls and CUSOM are Equal Opportunity / Affirmative Action / Equal Access Institutions. 

Medium or Media Used:

  • Computer Requirements:  Internet Access
  • E-mail Address

Instructions for Credit

  1. Register for the activity and create a StatPearls login.     
  2. Review the required accreditation information:  Target audience, learning objectives and disclosure information.
  3. Complete the entire self-study activity.
  4. Complete the post-test assessments.
  5. Successfully pass the post-test with a minimum score of 100%.
  6. Complete the evaluation form.
  7. Obtain a certificate.

StatPearls and CUSOM adheres to AOA Standards regarding commercial support of continuing medical education. It is the policy of StatPearls and Campbell that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved and also that authors and editors will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation. Detailed disclosure will be made prior to starting the activity.

The information provided at this CME/CE activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

This course is intended for osteopathic physicians who wish to earn AOA CME credit. Take this version of the course to ensure you receive appropriate credit.

 

 
 

Reviews

Dr.NIRMALA M. on 1/25/2023

Unlimited Physician CME

Stay up to date on the latest medical knowledge with 6673 CME activities. In these online self-assessment activities, read our reference articles and test your knowledge with more than 7923.5 hours of CME.

Learn About Lifetime CME

Single Activity

Take this single activity

$39 1 activity

6 Month Unlimited Physician CME

Access to all the Unlimited Physician CME activities in all specialties.

$399 per half year per user

1 Year Unlimited Physician CME

Access to all the Unlimited Physician CME activities in all specialties.

$599 per 1 year per user