[ 4 , 5 , 13 ] Although the majority of cases occur because of direct contact with these allergens, a few cases secondary to contact with airborne allergens have been described. J Invest Dermatol. The variables are mentioned as frequency and percentage. The cause of pigmented purpuric dermatosis is unknown. Wien Klin Wochensschr. 2017 Mar. A double blind controlled clinical trial.--- [Medline]. Contact Dermatitis. Although it is rarely reported in fair skin types and in western countries, it is a significant disease with major psychological burden to patients with dark skinned types. Contact Dermatitis 2003; 49: 48-49. 1917. Online directories are provided by the. The etiology of the inflammation causing the capillaritis is still unknown. 3rd ed. Abstract: Pigmented contact dermatitis (PCD) is a noneczematous variant of allergic contact dermatitis, and benzyl salicylate is one of its causes. 28 (2):155-159. Nath AK, Thappa DM. Indian J Dermatol Venereol Leprol. They fall under the category of pigmented purpuric dermatoses (PPD). The pigmentation may fade over 12 months, but may not resolve completely. vol. 68 year old woman with granulomatous pigmented purpuric dermatitis and Sjögren syndrome (Acta Derm Venereol 2013;93:95) Treatment First line: discontinuation of potential contributing factors, topical steroid and antihistamines, topical tacrolimus or pimecrolimus 13 (3):356-8. Hayakawa R, Matsunaga K, Arima Y. If you log out, you will be required to enter your username and password the next time you visit. 1982 Mar. 2014 Sep. 28 (9):1199-206. all the symptoms listed. The dermatovenerologist. [Medline]. Urmi Khanna and Sujay Khandpur Pigmented Contact dermatitis is a non-eczematous variant of contact dermatitis clinically characterised by reddish-brown to slate grey pigmentation in a reticulate pattern, usually without any active or preceding clinical dermatitis. [4, 5, 13] Although the majority of cases occur because of direct contact with these allergens, a few cases secondary to contact with airborne allergens have been described. 1970; 83(2):296-301 (ISSN: 0007-0963). 1. Int J Dermatol. Please confirm that you would like to log out of Medscape. 1108312-overview 2003 Feb. 30 (2):132-4. The HPO Dermatol Online J. It’s red, itchy, and uncomfortable, but it’s not life-threatening. Richard P Vinson, MD is a member of the following medical societies: American Academy of Dermatology, Texas Medical Association, Association of Military Dermatologists, Texas Dermatological SocietyDisclosure: Nothing to disclose. [37], Another small pilot 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 and a few patients having almost complete clearing. Alerts and Notices Synopsis Pigmented contact dermatitis, also known as Riehl melanosis, pigmented cosmetic dermatitis, and melanosis faciei feminae (female facial melanosis), is a nonpruritic pigmented contact dermatitis of rapid onset characterized by reticulated, brownish-gray pigmentation of the face and neck. If you can’t find a specialist in your local area, try contacting national or international specialists. Creams do not work and these birthmarks are removed with pigment specific lasers like the Candela Picoway laser or the Solta Fraxel laser Types of non -birthmark / acquired skin pigmentation A variety of contact allergens have been implicated in pigmented contact dermatitis, as described below. William D James, MD is a member of the following medical societies: American Academy of Dermatology, Society for Investigative DermatologyDisclosure: Received income in an amount equal to or greater than $250 from: Elsevier; WebMD. 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