Perioral dermatitis - Perioralni Dermatitis
☆ U rezultatima Stiftung Warentest-a za 2022. iz Njemačke, zadovoljstvo potrošača ModelDerm-om bilo je samo nešto niže nego s plaćenim telemedicinskim konsultacijama.
Papule oko usta i nozdrva sa pozadinskim crvenilom često se primećuju u obliku fleka ili pustule oko usta.
References
Perioral dermatitis je benigno stanje kože koje se obično viđa kod mladih žena, a karakteriziraju ga male crvene kvržice ili mrlje suhe, ljuskave kože oko usta. Iako tipično zahvaća područje oko usta, može se pojaviti i blizu očiju i nosa, što dovodi do njegovog nadimka, periorificial dermatitis. Upotreba lokalnih steroida na licu može izazvati ovo stanje, tako da je prvi korak u liječenju obično prestanak upotrebe ovih steroida. Druge mogućnosti liječenja uključuju primjenu lokalnog metronidazola ili inhibitora kalcineurina, ili uzimanje oralnih tetraciklinskih antibiotika. Perioralni dermatitis obično dobro reagira na liječenje, ali ponekad može perzistirati ili se ponavljati.
Perioral dermatitis is a benign eruption that occurs most commonly in young, female adults, consisting of small inflammatory papules and pustules or pink, scaly patches around the mouth. Although the perioral region is the most common area of distribution, this disease also can affect the periocular and paranasal skin. For this reason, it is often referred to as periorificial dermatitis. Topical steroid use to the face can trigger this, and therefore, a primary recommendation for treatment would be discontinuation of steroid application by the patient. Other treatment approaches include topical metronidazole, topical calcineurin inhibitors, and oral tetracycline antibiotics. Perioral dermatitis often responds readily to therapy but can be chronic and recurrent.
Perioral dermatitis is a benign eruption that occurs most commonly in young, female adults, consisting of small inflammatory papules and pustules or pink, scaly patches around the mouth. Although the perioral region is the most common area of distribution, this disease also can affect the periocular and paranasal skin. For this reason, it is often referred to as periorificial dermatitis. Topical steroid use to the face can trigger this, and therefore, a primary recommendation for treatment would be discontinuation of steroid application by the patient. Other treatment approaches include topical metronidazole, topical calcineurin inhibitors, and oral tetracycline antibiotics. Perioral dermatitis often responds readily to therapy but can be chronic and recurrent.
Propolis je lipofilna supstanca koju pčele ekstrahuju iz biljaka. Svrha ovog prikaza slučaja je bila da pokaže značaj ove supstance kao uzročnika alergijskog kontaktnog heilitisa. Pacijentkinja stara 21 godinu žalila se na perioralni ekcem svraba u trajanju od 5 godina. Proteklih mjeseci je zahvatila i vrat. Nakon dijagnoze kontaktnog dermatitisa, podvrgnuta je patch testu. Rezultat patch testa bio je izrazito pozitivan na propolis (++) .
Propolis is a lipophilic resin extracted from plants by bees. The purpose of this case report was to show the importance of this substance as cause of allergic contact cheilitis. A 21-year-old female patient complained of pruritic perioral eczema for 5 years. In the past months it also affected the neck. After diagnosing contact dermatitis, she was submitted to a patch test with a Latin American baseline series. The result was strongly positive for propolis (++)
Propolis is a lipophilic resin extracted from plants by bees. The purpose of this case report was to show the importance of this substance as cause of allergic contact cheilitis. A 21-year-old female patient complained of pruritic perioral eczema for 5 years. In the past months it also affected the neck. After diagnosing contact dermatitis, she was submitted to a patch test with a Latin American baseline series. The result was strongly positive for propolis (++)
Razne upalne bolesti kože koje karakteriziraju eritematozne papule. Klinički česta bolest - folliculitis and rosacea ; Relativno rijetka bolest - eosinophilic pustular folliculitis (EPF) , granulomatous periorificial dermatitis (GPD) , and lupus miliaris disseminatus faciei (LMDF) .
Various inflammatory skin diseases characterized by erythematous papules that most often affect the face include clinically common folliculitis and rosacea, and relatively rare eosinophilic pustular folliculitis (EPF), granulomatous periorificial dermatitis (GPD), and lupus miliaris disseminatus faciei (LMDF).
Various inflammatory skin diseases characterized by erythematous papules that most often affect the face include clinically common folliculitis and rosacea, and relatively rare eosinophilic pustular folliculitis (EPF), granulomatous periorificial dermatitis (GPD), and lupus miliaris disseminatus faciei (LMDF).
Lokalni steroidi mogu biti uzrok stanja, a hidratantne kreme i kozmetika također mogu doprinijeti razvoju kožnih bolesti. Liječenje se obično sastoji od prestanka uzimanja lokalnih steroida i kozmetike, au težim slučajevima, uzimanja tetraciklina na usta. Prestanak uzimanja steroida može u početku pogoršati osip.
Procjenjuje se da ovo stanje pogađa 0,5-1% ljudi godišnje u razvijenom svijetu. Do 90% oboljelih su žene u dobi od 16 do 45 godina.
○ Liječenje ― OTC lijekovi
Perioralni dermatitis je često uzrokovan kroničnim kontaktnim dermatitisom kozmetike, pa se nanošenje kozmetike oko usta ne preporučuje. Uzimanje OTC antihistaminika može biti od pomoći. Liječenje je često potrebno nekoliko mjeseci.
#OTC antihistamine