Perioral dermatitis
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Papler omkring munden og næseborene med en let rødme i baggrunden ses ofte som et plaster eller en pustel omkring munden.
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ReferencesPerioral dermatitis er en godartet hudlidelse, der almindeligvis ses hos unge kvinder, karakteriseret ved små røde knopper eller pletter af tør, skællende hud omkring munden. Selvom den typisk påvirker området omkring munden, kan den også forekomme i nærheden af øjne og næse, hvilket giver den kaldenavnet periorificial dermatitis. Brug af topiske steroider i ansigtet kan udløse tilstanden, så det første skridt i behandlingen er normalt at stoppe brugen af disse steroider. Andre behandlingsmuligheder omfatter topiske metronidazol‑ eller calcineurinhæmmere samt orale tetracyklin‑antibiotika. Perioral dermatitis responderer som regel godt på behandlingen, men den kan nogle gange vedvare eller komme tilbage flere gange.
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 er et lipofilt stof, der udvindes fra planter af bier. Formålet med denne case‑rapport var at vise vigtigheden af dette stof som årsag til allergisk kontaktdermatitis. En 21‑årig kvindelig patient klagede over pruritisk perioralt eksem i fem år. I de sidste måneder har det også påvirket nakken. Efter at have diagnosticeret kontaktdermatitis blev hun underkastet en lappetest. Resultatet af lappestesten var stærkt positivt 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 (++)
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 (++)
Forskellige inflammatoriske hudsygdomme, der er karakteriseret ved erytematøse papler. Klinisk almindelige sygdomme – folliculitis og rosacea; relativt sjældne sygdomme – eosinophilic pustular folliculitis (EPF), granulomatous periorificial dermatitis (GPD) og 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).
Aktuelle steroider kan være årsagen til tilstanden, og fugtighedscreme samt kosmetik kan også bidrage til udviklingen af hudsygdomme. Behandlingen består typisk i at stoppe topikale steroider og kosmetik, og i mere alvorlige tilfælde tage tetracykliner gennem munden. At stoppe steroider kan i begyndelsen forværre udslættet.
Tilstanden anslås at påvirke 0,5‑1 % af befolkningen om året i den udviklede verden. Op til 90 % af de ramte er kvinder mellem 16 og 45 år.
○ Behandling ― OTC‑lægemidler
Perioral dermatitis er ofte forårsaget af kronisk kontakteksem fra kosmetik, så det anbefales ikke at anvende kosmetik omkring munden. Det kan være nyttigt at tage en OTC‑antihistamin. Behandlingen kræver ofte flere måneder.
#OTC antihistamine