Perioral dermatitis - Dermatite Perioral
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As pápulas arredor da boca e nas fosas nasais con certo vermelhidão de fondo adoitan observarse en forma de parche ou pústula arredor da boca.
relevance score : -100.0%
ReferencesPerioral dermatitis é unha afección benigna da pel frecuentemente observada nas mulleres novas, caracterizada por pequenas protuberancias vermellas ou manchas de pel seca e escamosa arredor da boca. Aínda que normalmente afecta a zona arredor da boca, tamén pode aparecer preto dos ollos e do nariz, o que lle dá o apelido de dermatite periorificial. O uso de esteroides tópicos na cara pode desencadear esta condición, polo que o primeiro paso no tratamento adoita ser suspender o uso destes esteroides. Outras opcións de tratamento inclúen a aplicación tópica de metronidazol ou inhibidores da calcineurina, ou a toma de antibióticos orais de tetraciclina. A dermatite perioral adoita responder ben ao tratamento, pero ás veces pode persistir ou recoller repetidamente.
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.
O própole é unha substancia lipófila extraída das plantas polas abellas. O obxectivo deste informe de caso foi demostrar a importancia desta substancia como causa de queilite alérxica de contacto. Unha paciente de 21 anos queixouse de eczema perioral pruriginoso durante cinco anos. Nos últimos meses tamén se viu afectado o pescozo. Despois de diagnosticar a dermatite de contacto, foi sometida a unha proba de parche. O resultado da proba de parche foi moi positivo para o própole (++).
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 (++)
Varias enfermidades inflamatorias da pel están caracterizadas por pápulas eritematosas. As enfermidades máis frecuentes son a folliculitis e a rosacea. As enfermidades relativamente raras inclúen a eosinophilic pustular folliculitis (EPF), a granulomatous periorificial dermatitis (GPD) e o 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).
Os esteroides tópicos poden ser a causa da enfermidade, e os hidratantes e cosméticos tamén poden contribuír ao seu desenvolvemento. O tratamento consiste, normalmente, en deixar de usar os esteroides e os cosméticos tópicos e, nos casos máis graves, en administrar tetracyclines (tetraciclinas) por vía oral. Deixar de usar os esteroides pode empeorar inicialmente a erupción cutánea.
Estímase que a condición afecta ao 0,5‑1 % da poboación anual no mundo desenvolvido. Ata o 90 % dos afectados son mulleres con idades entre 16 e 45 anos.
○ Tratamento - Medicamentos OTC
A dermatite perioral adoita ser causada pola dermatite de contacto crónica con cosméticos, polo que non se recomenda o uso de cosméticos arredor da boca. Tomar OTC antihistamine (antihistamínico) pode ser útil. O tratamento costuma ser necesario durante varios meses.
#OTC antihistamine