Perioral dermatitis (too called periorifical dermatitis), is skin complaint characterised by multiple small (1 – 2 mm) papules, pustules and vesicles which are localized to the perioral skin (around the mouth), perinasal or nasolabial folds (on every side the nostrils), or perioccular area (encompassing the eyes). It most commonly affects women between the ages of 20 and 45 years, goal may also affect children, men and the somewhat advanced in life. It is not uncommon, and has a aim to recur in individuals who own had it once.
Symptoms and signs
Perioral dermatitis may have existence asymptomatic, or may be associated by a burning, stinging sensation in the assumed areas.
When periorbital dermatitis is establish in otherwise healthy prepubertal children, with a profusion of grouped papules put ~ the perioral, periocular, and perinasal areas, the class is referred to as Granulomatous perioral dermatitis.
The attempt of perioral dermatitis is unknown. It repeatedly happens after the use of topical steroid on the face.
There are a comprehensive number of potential causes including chewing gum, undisputed medications, hormone changes, and autoimmune diseases. Lip licking, edge chewing, sucking, and allergies to ingredients in undoubted dental products have also been reported being of the cl~s who causes. Balsam of Peru and cinnamic aldehyde (the two often used as flavoring in nourishment, lipstick, mouthwash, and toothpaste), rosin in some chewing gum, cinnamon, and peppermint are other in posse allergens that may cause perioral dermatitis.
A diagnosis of perioral dermatitis is typically made based up~ the characteristics of the rash. A skin biopsy is usually not required to shape the diagnosis, but can be full of help to rule out other skin diseases that may resemble perioral dermatitis.
Other skin diseases that may resemble perioral dermatitis include:
Allergic contiguity dermatitis
Irritant contact dermatitis
Perioral dermatitis give by ~ usually resolve within a few months free from medication. Topical corticosteroids should be stopped entirely granting that possible.
A number of medications despatch up recovery including: tetracycline, doxycycline and erythromycin. Erythromycin may exist used as a cream. Metronidazole does not see the light to be as good as tetracycline.
Granulomatous perioral dermatitis
“Perioral Dermatitis – Patient pamphlet”. American Academy of Dermatology. 2006. Retrieved April 3, 2006.
Hans J Kammler (February 23, 2005). “Perioral Dermatitis“. American Academy of Dermatology. Retrieved April 3, 2006.
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