Perioral dermatitis - Perioralni Dermatitis
☆ V rezultatih raziskave Stiftung Warentest iz Nemčije leta 2022 je bilo zadovoljstvo potrošnikov z ModelDermom le nekoliko nižje kot s plačanimi telemedicinskimi svetovanji.
Papule okoli ust in nosnic z nekaj rdečice v ozadju so pogosto opažene v obliki obliža ali pustule okoli ust.
References
Perioral dermatitis je benigna kožna bolezen, ki jo običajno opazimo pri mladih ženskah, za katero so značilne majhne rdeče izbokline ali zaplate suhe, luskaste kože okoli ust. Medtem ko običajno prizadene območje okoli ust, se lahko pojavi tudi v bližini oči in nosu, kar vodi do njegovega vzdevka periorificialni dermatitis. Uporaba lokalnih steroidov na obrazu lahko sproži to stanje, zato je prvi korak pri zdravljenju običajno prenehanje uporabe teh steroidov. Druge možnosti zdravljenja vključujejo lokalno uporabo metronidazola ali zaviralcev kalcinevrina ali jemanje peroralnih tetraciklinskih antibiotikov. Perioralni dermatitis se običajno dobro odziva na zdravljenje, vendar lahko včasih vztraja ali se ponavlja.
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 snov, ki jo čebele pridobivajo iz rastlin. Namen tega poročila o primeru je bil pokazati pomen te snovi kot povzročitelja alergijskega kontaktnega heilitisa. 21-letna bolnica je 5 let tožila zaradi srbečega perioralnega ekcema. V zadnjih mesecih je prizadel tudi vrat. Po diagnozi kontaktnega dermatitisa je bila podvržena testu z obliži. Rezultat patch testa je bil močno pozitiven 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 (++)
Različne vnetne kožne bolezni, za katere so značilne eritematozne papule. Klinično pogosta bolezen - folliculitis and rosacea ; Relativno redka bolezen - 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 so lahko vzrok za stanje, vlažilci in kozmetika pa lahko prispevajo tudi k razvoju kožne bolezni. Zdravljenje je običajno s prekinitvijo lokalnih steroidov in kozmetike, v hujših primerih pa z jemanjem tetraciklinov peroralno. Prenehanje jemanja steroidov lahko na začetku poslabša izpuščaj.
Ocenjuje se, da to stanje vsako leto prizadene 0,5-1 % ljudi v razvitem svetu. Do 90 % obolelih je žensk, starih od 16 do 45 let.
○ Zdravljenje ― OTC zdravila
Perioralni dermatitis je pogosto posledica kroničnega kontaktnega dermatitisa kozmetike, zato nanašanje kozmetike okoli ust ni priporočljivo. Jemanje antihistaminikov brez recepta je lahko koristno. Zdravljenje je pogosto potrebno več mesecev.
#OTC antihistamine