Perioral dermatitis
Last Updated: 2023-07-07
Author(s): Anzengruber F., Navarini A.
ICD11: ED90.1
Last Updated: 2023-07-07
Author(s): Anzengruber F., Navarini A.
ICD11: ED90.1
Dermatitis perioralis, rosacea-like dermatitis, stewardess disease, periorificial dermatitis.
Reactive disease of the face, rosacea type. Itchy to painful skin changes on the face. Not infectious.
None.
The disease is close to rosacea, but the distribution is different. The skin changes are always found around an orificium: perioral, perinasal and/or periorbital erythematous, often grouped, pruritic to burning, confluent, often slightly scaly papules, papulovesicles and pustules, sometimes also thin plaques.
Follicular centred pathology. Epidermis spongiotic, lymphocytic perivascular infiltrates around follicular ostia. No demodex mites, telangiectasias, actinic elastosis as in rosacea.
If possible, abstain from facial care products.
General measures
Cleansing:
Topical therapy:
Make up:
Topical steroids:
Systemic antibiotics:
Systemic retinoids:
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