Maryam Ghasemi Daneshjooye Pezeshki Daneshgah Esfahan 901111521 DR

Maryam Ghasemi Daneshjooye Pezeshki Daneshgah Esfahan 901111521 DR Fatemi

Perioral dermatitis

DEFINITION young women (15 -25 years) • facial skin around the mouth • inflammatory disorder with • small papules and pustules Relatively common •

etiology no convincing explanation n Candidan Fusiform bacterian Demodex miten Cosmeticsn Fluoride-containing toothpaste n potent topical corticosteroids, particularly n fluorinated topical corticosteroids

Clinical features first appears around the external nares and n the superior end of the nasolabial folds or around the lip commissures spreads around the mouthn leaving a clear and uninvolved zone n immediately adjacent to the lips If severe and/or long-standing (side of nose n & glabella)

Clinical features Periocular perioral dermatitis ( if n predominantly around the eyes ) ype of lesions: typically small papules (or micropapules), sometimes pustules n No persistent erythema or telangiectasian little in the way of symptoms apart from n some mild soreness

DDx rosacea : 1 -facial convexitiesn 2 -persistant erythema 3 -telangiectasia Seborrheic dermatitis: 1 -scalingn 2 -scalp dandruf 3 -other area of body Acne: 1 -locationn 2 -comedons 3 -seborrhea 4 -upper trunk

DDx lip-licking cheilitis : 1 -(7 -15 years old)n 2 -repeated licking of the Skin around the mouth 3 -scaling

treatment All topical steroids should be stoppedn Oral Tetracycline & its familyn Oral erythromycinn Topical antibiotics (metronidazole, n ythromycine, tetracycline)