Perioral dermatitis - Dermatitis Ya Perioralhttps://en.wikipedia.org/wiki/Perioral_dermatitis
Dermatitis ya Perioral (Perioral dermatitis) ni upele wa ngozi wa kawaida kwenye uso. Dalili ni pamoja na matuta madogo mengi (milimita 1–2) na malengelenge, wakati mwingine yenye uwekundu, na ukubwa wa mandharinyuma. Vidonda vinaonekana ndani ya ngozi karibu na mdomo na pua. Inaweza kudumu au kujirudia, na inafanana hasa na rosacea, na kwa kiasi fulani na dermatitis ya mzio.

Steroid za topiki zinaweza kuwa chanzo cha hali hii, na moisturizers pamoja na vipodozi pia vinaweza kuchangia maendeleo ya ugonjwa wa ngozi. Matibabu ya kawaida ni kuacha kutumia steroid za topiki na vipodozi, na katika hali mbaya zaidi, kutumia tetracycline kinywa. Kuacha steroid kunaweza kuzidisha upele.

Hali hii inakadiriwa kuathiri 0.5–1% ya watu kila mwaka duniani. Hadi 90% ya walioathirika ni wanawake wenye umri kati ya miaka 16 na 45.

Matibabu - Dawa za OTC
Ugonjwa huu wa ngozi mara kwa mara husababishwa na matumizi ya muda mrefu ya vipodozi, hivyo matumizi ya vipodozi karibu na kinywa hayapendekezwi. Kuchukua antihistamine ya OTC kunaweza kusaidia. Matibabu mara nyingi huhitaji miezi kadhaa.
#OTC antihistamine
☆ Katika matokeo ya 2022 ya Stiftung Warentest kutoka Ujerumani, kuridhika kwa watumiaji na ModelDerm kulikuwa chini kidogo kuliko na mashauriano ya matibabu ya simu yanayolipishwa.
  • Papules karibu na mdomo na puani na uwekundu wa asili mara nyingi huzingatiwa kwa njia ya kiraka au pustule karibu na mdomo.
    References Perioral Dermatitis 30247843 
    NIH
    Perioral dermatitis ni hali ya ngozi isiyo na mvuto ambayo mara nyingi huonekana kwa wanawake vijana, inayojulikana kwa vijipele vidogo vyekundu au mabaka ya ngozi kavu na yenye magamba mdomoni. Ingawa kwa kawaida huathiri eneo karibu na mdomo, inaweza pia kuonekana karibu na macho na pua, na hivyo kupata jina lake la utani, ugonjwa wa ngozi wa pembeni. Matumizi ya steroids ya juu kwenye uso yanaweza kusababisha hali hii, hivyo hatua ya kwanza ya matibabu ni kuacha matumizi ya steroids hizi. Njia zingine za matibabu ni pamoja na kutumia vizuizi vya juu vya metronidazole au calcineurin, au kuchukua dawa za kumeza za tetracycline. Dermatitis hii hujibu vyema kwa matibabu, lakini wakati mwingine inaweza kuendelea au kurudi mara kwa mara.
    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
    Propolis ni dutu ya lipophilic inayotolewa kutoka kwa mimea na nyuki. Madhumuni ya ripoti hii ya kesi ilikuwa kuonyesha umuhimu wa dutu hii kama sababu ya mguso wa cheilitis ya mzio. Mgonjwa wa kike mwenye umri wa miaka 21 alilalamika kwa eczema ya perioral kwa miaka mitano. Katika miezi iliyopita, alikumbwa pia na dalili kwenye shingo. Baada ya kugundua ugonjwa wa ngozi unaosababishwa na mguso, alifanyiwa kipimo cha allergi. Matokeo ya mtihani wa allergi yalikuwa chanya kwa 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
    Magonjwa mbalimbali ya ngozi yanayochochewa na papules erythematous. Magonjwa ya kawaida katika kliniki ni folliculitis, rosacea. Magonjwa nadra sana ni 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).