Perioral dermatitis - Revision history

Rossdonaldson1: /* Background */

2024-12-11T17:28:03Z

Background

← Older revision		Revision as of 17:28, 11 December 2024
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	==Background==		==Background==
			{{Skin anatomy background images}}
	*90% female (increasing in males)		*90% female (increasing in males)

Rossdonaldson1: /* Background */

2020-09-10T22:46:14Z

Background

← Older revision		Revision as of 22:46, 10 September 2020
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	===Etiology===		===Etiology===
	*[[topical steroids\|Topical]] or [[inhaled corticosteroid]]s		*[[topical steroids\|Topical]] or [[inhaled corticosteroid]]s
	*use of cosmetics,		*use of cosmetics
	*physical (UVB, heat, wind),		*physical (UVB, heat, wind)
	*microbiological (fusiform spirilla, [[candida]])		*microbiological (fusiform spirilla, [[candida]])
	*hormonal factors (premenstrual deterioration, use of oral contraceptives)		*hormonal factors (premenstrual deterioration, use of oral contraceptives)
	*GI tract abnormalities (malabsorption)		*GI tract abnormalities (malabsorption)
	*~~emotional~~ stress.		*Emotional stress

			{{Dermatitis types}}

	==Clinical Features==		==Clinical Features==

ClaireLewis at 01:06, 28 September 2019

2019-09-28T01:06:08Z

← Older revision		Revision as of 01:06, 28 September 2019
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	===Etiology===		===Etiology===
	*Topical or inhaled ~~steroids~~		*[[topical steroids\|Topical]] or [[inhaled corticosteroid]]s
	*use of cosmetics,		*use of cosmetics,
	*physical (UVB, heat, wind),		*physical (UVB, heat, wind),
	*microbiological (fusiform spirilla, candida)		*microbiological (fusiform spirilla, [[candida]])
	*hormonal factors (premenstrual deterioration, use of oral contraceptives)		*hormonal factors (premenstrual deterioration, use of oral contraceptives)
	*GI tract abnormalities (malabsorption)		*GI tract abnormalities (malabsorption)
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	==Clinical Features==		==Clinical Features==
	[[File:ADC 2008 335.jpg\|thumb]]		[[File:ADC 2008 335.jpg\|thumb]]
	*papular, vesiculopapular and papulopustular lesions on erythematous base (Acneiform)		*papular, vesiculopapular and papulopustular [[rash\|lesions]] on erythematous base (Acneiform)
	**confluent aspect, follicular		**confluent aspect, follicular
	*location perioral, limited to skin		*location perioral, limited to skin
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	==Differential Diagnosis==		==Differential Diagnosis==
	*Rosacea		*Rosacea
	*Seborrheic ~~Dermatitis~~		*[[Seborrheic dermatitis]]
	*Acne vulgaris		*Acne vulgaris
	*Facial demodicosis		*Facial demodicosis
	*Lupus milliaris		*[[Lupus]] milliaris
	*Polymorphous light reaction		*Polymorphous light reaction
	*Contact dermatitis		*[[Contact dermatitis]]
	*Haber syndrome		*Haber syndrome
	*Granulomatous periorificial dermatitis		*Granulomatous periorificial dermatitis
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	*Discontinue suspected topicals		*Discontinue suspected topicals
	*Rebound reaction		*Rebound reaction
	**hydrocortisone cuts down reaction violence		**[[hydrocortisone]] cuts down reaction violence
	*Corticosteroid dependence - psychological follow up		*[[Corticosteroid]] dependence - psychological follow up
	*Suppression of follicular bacterial infection		*Suppression of follicular bacterial infection
	**Lipophilic tetracyclines 100-250mg/d for 3-4 months		**Lipophilic [[tetracyclines]] 100-250mg/d for 3-4 months
	**no response - Isotretinoin		**no response - Isotretinoin
	**Children - oral, topical ~~Erythromycin~~, ~~Metronidazole~~		**Children - oral, topical [[erythromycin]], [[metronidazole]]
	*Antipruritics containing no corticosteroids		*Antipruritics containing no corticosteroids

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-26T12:56:05Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 12:56, 26 July 2016
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	{{DDX oral rashes and lesions}}		{{DDX oral rashes and lesions}}

	==~~Diagnosis~~==		==Evaluation==
	*Usually clinical		*Usually clinical

Neil.m.young: Text replacement - "==Treatment==" to "==Management=="

2016-07-08T16:51:54Z

Text replacement - "==Treatment==" to "==Management=="

← Older revision		Revision as of 16:51, 8 July 2016
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	*Usually clinical		*Usually clinical

	==~~Treatment~~==		==Management==
	*Discontinue suspected topicals		*Discontinue suspected topicals
	*Rebound reaction		*Rebound reaction

Neil.m.young: Text replacement - "* " to "*"

2016-07-04T15:30:05Z

Text replacement - "* " to "*"

← Older revision		Revision as of 15:30, 4 July 2016
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	==Clinical Features==		==Clinical Features==
	[[File:ADC 2008 335.jpg\|thumb]]		[[File:ADC 2008 335.jpg\|thumb]]
	* papular, vesiculopapular and papulopustular lesions on erythematous base (Acneiform)		*papular, vesiculopapular and papulopustular lesions on erythematous base (Acneiform)
	** confluent aspect, follicular		**confluent aspect, follicular
	* location perioral, limited to skin		*location perioral, limited to skin
	** typically respects rim around and 3-5 mm under lower lip, circular		**typically respects rim around and 3-5 mm under lower lip, circular

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: /* Differential Diagnosis */

2016-04-26T21:10:40Z

Differential Diagnosis

← Older revision		Revision as of 21:10, 26 April 2016
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	*Haber syndrome		*Haber syndrome
	*Granulomatous periorificial dermatitis		*Granulomatous periorificial dermatitis

			{{DDX oral rashes and lesions}}

	==Diagnosis==		==Diagnosis==

Ostermayer: Text replacement - "Category:Derm" to "Category:Dermatology"

2016-03-22T13:13:39Z

Text replacement - "Category:Derm" to "Category:Dermatology"

← Older revision		Revision as of 13:13, 22 March 2016
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	*Ljubojević et al. "Perioral dermatitis" Acta Dermatovenerol Croat. 2008;16(2):96-100		*Ljubojević et al. "Perioral dermatitis" Acta Dermatovenerol Croat. 2008;16(2):96-100

	[[Category:~~Derm~~]]		[[Category:Dermatology]]

Rossdonaldson1: /* References */

2015-06-10T14:31:13Z

References

← Older revision		Revision as of 14:31, 10 June 2015
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	*Lupus-like PD - dermal infiltrate, scarring		*Lupus-like PD - dermal infiltrate, scarring
	**Yellowish discoloration after diascopy		**Yellowish discoloration after diascopy

			==See Also==
			*[[Rashes]]

	==References==		==References==

Rossdonaldson1: /* Diagnosis */

2015-06-10T14:30:53Z

Diagnosis

← Older revision		Revision as of 14:30, 10 June 2015
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	==Diagnosis==		==Diagnosis==
			*Usually clinical

	==Treatment==		==Treatment==