Perioral dermatitis - Dermatitis Perioralhttps://en.wikipedia.org/wiki/Perioral_dermatitis
Ko te Dermatitis Perioral (Perioral dermatitis) he ponaka kiri noa i te waha. Ko ngā tohu he maha ngā puku iti (1–2 mm) me te opu, i ētahi wā ka whero te papamuri, ā, ka unahi. Ko te mate ka pā ki te kiri huri noa i te waha me ngā pōngapunga. Ka mau tonu, ka hoki mai anō, ā, ka rite ki te rosacea, te hakihaki, me te hē o te āhua o te kiri. Ko ngā steroids te take o te mate; ka whai wāhi anō ngā makuku me ngā whakapaipai ki te whakawhanaketanga o te mate kiri. Ko te nuinga o te maimoatanga ko te whakamutu i ngā steroids me ngā mea whakapaipai, ā, i ngā āhuatanga kino ake, ko te tango i ngā tetracyclines mā te waha. Ka kino pea te ponaka mēnā ka whakamutu i ngā steroids. Ka pā te āhua ki te 0.5–1 % o ngā tāngata i ia tau i roto i te ao whakawhanaketanga. Tae atu ki te 90 % o te hunga kua pāngia he wāhine, kei waenganui i te 16 me te 45 tau. Maimoatanga ― OTC Drugs
I te nuinga o ngā wā ka puta mai te mate pūkupu o te perioral dermatitis nā te pāheketanga o ngā mea whakapaipai, nō reira kāore i te tūtohutia te whakamahi i ngā mea whakapaipai huri noa i te waha. Ko te tango i te OTC antihistamine he āwhina. He maha ngā marama e hiahiatia ana te maimoatanga.
#OTC antihistamine
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  • Ko ngā papule kei te taha o te waha me ngā pōngaihu, he whero te papamuri, ka kitea i te āhua o te papaki, te pustule rānei, huri noa i te waha.
    References Perioral Dermatitis 30247843 
    NIH
    Ko te Perioral dermatitis he mate kiri pai e kitea ana i roto i ngā wāhine taitamariki, ā, ka tohuia e te paku whero iti, te papapa rānei o te kiri maroke me te kiri kiri i te waha. Ahakoa ka pā te nuinga o te wā ki te taha o te waha, ka puta tata ki ngā kanohi me te ihu, ā, ko tāna ingoa anō ko periorificial dermatitis. Ko te whakamahi i ngā steroids i runga i te mata he take nui mō tēnei āhua, nō reira ko te mahi tuatahi mō te maimoatanga ko te aukati i te whakamahinga o ēnei steroids. Ko ētahi atu momo maimoatanga ko te whakamahi i te metronidazole, te aukati calcineurin, me te tango paturopi tetracycline-waha. I te nuinga o te wā ka pai te urupare o te Perioral dermatitis ki te maimoatanga, engari ka mau tonu, ka hoki mai anō i ētahi wā.
    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.
     Allergic contact cheilitis caused by propolis: case report 35195191 
    NIH
    Ko te Propolis he matū lipophilic i tangohia mai i ngā tipu e te pi. Ko te kaupapa o tēnei ripoata kēhi he whakaatu i te hiranga o tēnei matū hei take o te cheilitis. He 21‑tau te pakeke o te wahine turoro i amuamu mō te pruritic perioral eczema mō te 5‑tau. I ngā marama kua pahure ake nei, ka pā ki te kaki. I muri mai i tana whakamōhio mō te mate, ka tukuna ia ki te whakamātautau papaki. Ko te hua o te whakamātautau papaki i tino pai mō te 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 (++)
     Predictive Model for Differential Diagnosis of Inflammatory Papular Dermatoses of the Face 33911757 
    NIH
    He maha ngā mātē kiri mumu rā e whakaatu ana e ngā papules erythematous. Ngā mātē haumanu noa – folliculitis, rosacea; he mātē onge – eosinophilic pustular folliculitis (EPF), granulomatous periorificial dermatitis (GPD), lupus miliaris disseminatus faciei (LMFD).
    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).