Perioral dermatitis - 口周皮炎
口腔及鼻孔周圍出現丘疹，伴有紅色背景，常以口腔周圍斑塊或膿皰的形式出現。
relevance score : -100.0%
ReferencesPerioral dermatitis 是一種常見於年輕女性的良性皮膚病，特徵為口腔周圍出現紅色小丘疹或乾燥、鱗屑狀皮膚。雖然主要影響口周區域，但有時也會出現在眼睛和鼻子附近，故稱為「口周皮膚炎」。使用局部類固醇會誘發此症狀，因而治療的第一步通常是停用這類藥物。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，或口服四環素類抗生素。口周皮膚炎大多對治療反應良好，但亦可能持續或反覆復發。
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.
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.
蜂膠是蜜蜂從植物中提取的親脂性物質。本病例報告旨在說明該物質在過敏性接觸性唇炎發病中的重要性。一名21歲女性患者主訴口周部位出現搔癢性濕疹已5年，近幾個月病變亦波及頸部。診斷為接觸性皮膚炎後，她接受了斑貼測試。斑貼測試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 (++)
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 (++)
以紅斑丘疹為特徵的各種發炎性皮膚病。臨床上常見的疾病包括 folliculitis 與 rosacea；相對罕見的疾病則有 eosinophilic pustular folliculitis (EPF)、granulomatous periorificial dermatitis (GPD) 以及 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).
外用類固醇是常見的誘因，保濕霜與化妝品亦可能促成此病。治療首要是停用外用類固醇和化妝品；嚴重者可口服四環素。停用類固醇初期可能會使皮疹惡化。
據估計，已開發國家每年有 0.5%–1% 的人口受到此疾病影響。高達 90% 的患者為 16 歲至 45 歲之間的女性。
○ 治療 - 非處方藥
口周皮膚炎多因化妝品引起的慢性接觸性皮膚炎，建議避免在口周使用化妝品。服用非處方抗組織胺可能有助緩解，治療通常需數月時間。
#OTC antihistamine