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SKU: 22395913874

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Data extraction and risk of bias assessment Two authors independently completed the literature search, data extraction, and quality evaluation of the included studies according to predetermined criteria

Each of these conditions would need to be carefully ruled out before a diagnosis of Riehl melanosis can be confirmed

Additionally, fat tissue serves as a site of oestrogen production through peripheral aromatisation of androgens, which may paradoxically affect hormonal fluctuations during the menopausal transition