maryam ghasemi daneshjooye pezeshki daneshgah esfahan 901111521 dr fatemi
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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 - PowerPoint PPT PresentationTRANSCRIPT
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Maryam GhasemiDaneshjooye Pezeshki
Daneshgah Esfahan901111521DR Fatemi
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Perioral dermatitis
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DEFINITION • young women (15-25 years)
• facial skin around the mouth
• inflammatory disorder with small papules and pustules
•Relatively common
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etiology no convincing explanation
Candida Fusiform bacteria
Demodex mite Cosmetics
Fluoride-containing toothpaste potent topical corticosteroids, particularly
fluorinated topical corticosteroids
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Clinical featuresfirst appears around the external nares
and the superior end of the nasolabial folds or around the lip commissures
spreads around the mouth
leaving a clear and uninvolved zone immediately adjacent to the lips
If severe and/or long-standing (side of nose & glabella)
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Clinical featuresPeriocular perioral dermatitis ( if
predominantly around the eyes )
Type of lesions:typically small papules (or micropapules), sometimes pustules
No persistent erythema or telangiectasia
little in the way of symptoms apart from some mild soreness
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DDxrosacea :1-facial convexities
2-persistant erythema 3-telangiectasia
Seborrheic dermatitis:1-scaling 2-scalp dandruf
3-other area of bodyAcne:1-location
2-comedons 3-seborrhea
4-upper trunk
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DDxlip-licking cheilitis :1-(7-15 years old)
2-repeated licking of the Skin around the mouth
3-scaling
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treatmentAll topical steroids should be stopped
Oral Tetracycline & its family
Oral erythromycin
Topical antibiotics (metronidazole, erythromycine,tetracycline)