Perioral dermatitis - 口周皮炎
https://en.wikipedia.org/wiki/Perioral_dermatitis
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口腔和鼻孔周圍出現丘疹,背景發紅,通常以口腔周圍斑塊或膿皰的形式觀察到。
relevance score : -100.0%
References
Perioral Dermatitis 30247843 NIH
Perioral dermatitis 是一種常見於年輕女性的良性皮膚病,其特徵是口腔周圍出現紅色小腫塊或乾燥、鱗狀皮膚。雖然它通常影響口腔周圍的區域,但它也可能出現在眼睛和鼻子附近,因此得名「口周皮膚炎」。在臉部使用局部類固醇可能會引發這種情況,因此治療的第一步通常是停止使用這些類固醇。其他治療選擇包括局部使用甲硝唑或鈣調神經磷酸酶抑制劑,或口服四環素抗生素。口周皮膚炎通常對治療反應良好,但有時會持續存在或反覆復發。
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
蜂膠是蜜蜂從植物中提取的親脂性物質。本病例報告的目的是展示該物質作為過敏性接觸性唇炎病因的重要性。一名21歲女性患者主訴口周搔癢濕疹5年。在過去的幾個月裡,它也影響了頸部。在診斷出接觸性皮膚炎後,她接受了斑貼測試。斑貼試驗結果顯示蜂膠呈強陽性(++)。
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
以紅斑丘疹為特徵的各種發炎性皮膚病。臨床常見疾病- folliculitis and rosacea ;相對罕見的疾病 - 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).
外用類固醇可能是導致這種情況的原因,保濕霜和化妝品也可能導致皮膚病的發展。治療通常是停止外用類固醇和化妝品,在更嚴重的情況下,口服四環素。停止使用類固醇最初可能會使皮疹惡化。
據估計,已開發國家每年有 0.5-1% 的人患有這種疾病。高達 90% 的受影響者是 16 歲至 45 歲之間的女性。
○ 治療 - 非處方藥
口周皮膚炎往往是由化妝品慢性接觸性皮膚炎引起的,因此不建議在口腔周圍塗抹化妝品。服用非處方抗組織胺可能會有幫助。治療通常需要幾個月的時間。
#OTC antihistamine