Perioral dermatitis - Dermatite Periorali
☆ Fir-riżultati ta' Stiftung Warentest tal-2022 mill-Ġermanja, is-sodisfazzjon tal-konsumatur b'ModelDerm kien biss ftit inqas milli b'konsultazzjonijiet bit-telemediċina mħallsa.
Papules madwar il-ħalq u l-imnifsejn b'xi ħmura fl-isfond spiss jiġu osservati fil-forma ta 'garża jew pustula madwar il-ħalq.
References
Perioral dermatitis hija kundizzjoni beninna tal-ġilda li tidher komunement fin-nisa żgħażagħ, ikkaratterizzata minn ħotob ħomor żgħar jew irqajja ta’ ġilda xotta u bil-qoxra madwar il-ħalq. Filwaqt li tipikament taffettwa ż-żona madwar il-ħalq, jista 'jidher ukoll ħdejn l-għajnejn u l-imnieħer, li jwassal għall-laqam tiegħu, dermatite periorfiċjali. L-użu ta 'sterojdi topiċi fuq il-wiċċ jista' jikkawża din il-kundizzjoni, għalhekk l-ewwel pass fit-trattament huwa ġeneralment iwaqqaf l-użu ta 'dawn l-isterojdi. Għażliet oħra ta 'trattament jinkludu l-applikazzjoni ta' inibituri topiċi ta 'metronidazole jew calcineurin, jew it-teħid ta' antibijotiċi tetracycline orali. Id-dermatite perioral ġeneralment tirrispondi tajjeb għat-trattament, iżda xi drabi tista' tippersisti jew terġa' lura ripetutament.
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.
Il-propolis hija sustanza lipofilika estratta mill-pjanti min-naħal. L-iskop ta' dan ir-rapport tal-każ kien li juri l-importanza ta' din is-sustanza bħala kawża ta' keilite ta' kuntatt allerġiku. Pazjent mara ta’ 21 sena ilmentat b’ekżema perioral pruritika għal 5 snin. Fix-xhur li għaddew affettwa wkoll l-għonq. Wara d-dijanjosi tad-dermatite tal-kuntatt, hija ġiet sottomessa għal test tal-garża. Ir-riżultat tat-test tal-garża kien pożittiv ħafna għall-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 (++)
Diversi mard infjammatorju tal-ġilda kkaratterizzat minn papules eritematożi. Mard klinikament komuni - folliculitis, rosacea ; Marda relattivament rari - eosinophilic pustular folliculitis (EPF) , granulomatous periorificial dermatitis (GPD) , 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).
L-isterojdi topiċi jistgħu jkunu l-kawża tal-kundizzjoni u moisturizers u kożmetiċi jistgħu wkoll jikkontribwixxu għall-iżvilupp ta 'mard tal-ġilda. It-trattament huwa tipikament billi jitwaqqfu sterojdi topiċi u kożmetiċi, u f'każijiet aktar severi, tieħu tetracyclines mill-ħalq. It-twaqqif ta 'sterojdi jista' inizjalment jaggrava r-raxx.
Il-kundizzjoni hija stmata li taffettwa 0.5-1% tan-nies fis-sena fid-dinja żviluppata. Sa 90% ta’ dawk milquta huma nisa ta’ bejn is-16 u l-45 sena.
○ Trattament - Drogi OTC
Id-dermatite perioral ħafna drabi hija kkawżata minn dermatite kronika tal-kuntatt tal-kożmetiċi, għalhekk l-applikazzjoni tal-kożmetiċi madwar il-ħalq mhix rakkomandata. It-teħid ta' antistaminiku OTC jista' jkun ta' għajnuna. It-trattament spiss ikun meħtieġ fuq diversi xhur.
#OTC antihistamine