Perianal eczema
Last Updated: 2023-09-28
Author(s): Navarini A.A., Anzengruber F.
ICD11: EA87.2
Last Updated: 2023-09-28
Author(s): Navarini A.A., Anzengruber F.
ICD11: EA87.2
Eczematous dermatitis in the region of the anus.
Irritant-toxic: e.g. in anal incontinence
Atopic: in patients with atopy, e.g. also in the context of atopic dermatitis
Contact allergic: with the application of various creams or also with the application of moist toilet paper (wipes)
In some cases, a Candida infection can also develop secondarily.
The symptoms of Candida can be very severe
Pruriginous, erythematous, sometimes confluent erythematous papules perianally.
Clinic
Around the anus
Spongiotic dermatitis, as in other eczemas.
Bacterial or mycological superinfection.
Avoid the trigger if possible.
Steroid-containing ointment, class II / III (Emovate, Elocom ointment)
Alternatively, calcineurin inhibitors can be used:
Sometimes application with tar-containing products is recommended, e.g. Liquor carbonis detergens in Ungentum leniens.
