Perioral dermatitis - Perioralni Dermatitis
☆ U rezultatima Stiftung Warentest iz Njemačke za 2022., zadovoljstvo potrošača s ModelDermom bilo je samo malo niže nego s plaćenim konzultacijama o telemedicini.
Papule oko usta i nosnica s pozadinskim crvenilom često se opažaju u obliku mrlje ili pustule oko usta.
References
Perioral dermatitis je dobroćudno stanje kože koje se obično viđa kod mladih žena, a karakteriziraju ga male crvene kvržice ili mrlje suhe, ljuskave kože oko usta. Iako obično zahvaća područje oko usta, može se pojaviti i blizu očiju i nosa, što dovodi do njegovog nadimka, periorificijalni dermatitis. Korištenje lokalnih steroida na licu može potaknuti ovo stanje, tako da je prvi korak u liječenju obično prestanak upotrebe ovih steroida. Ostale mogućnosti liječenja uključuju primjenu lokalnog metronidazola ili inhibitora kalcineurina ili uzimanje oralnih tetraciklinskih antibiotika. Perioralni dermatitis obično dobro reagira na liječenje, ali ponekad može potrajati 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 tvar koju pčele ekstrahiraju iz biljaka. Svrha ovog prikaza slučaja bila je pokazati važnost ove tvari kao uzroka alergijskog kontaktnog heilitisa. Bolesnica stara 21 godinu žalila se na svrbež perioralnog ekcema 5 godina. Proteklih mjeseci zahvatio je i vrat. Nakon dijagnosticiranja kontaktnog dermatitisa, podvrgnuta joj 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 kožne bolesti karakterizirane eritematoznim papulama. 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 hidratantna sredstva i kozmetika također mogu pridonijeti razvoju kožnih bolesti. Liječenje se obično provodi prestankom lokalnog uzimanja steroida i kozmetike, a u težim slučajevima uzimanjem 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 često je uzrokovan kroničnim kontaktnim dermatitisom kozmetike, pa se ne preporučuje nanošenje kozmetike oko usta. Uzimanje OTC antihistaminika može biti od pomoći. Liječenje je često potrebno nekoliko mjeseci.
#OTC antihistamine