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    Perioral Dermatitis Slide

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    Perioral dermatitis is an eruption of small papules and pustules around the mouth, often caused by topical corticosteroids or cosmetics. It commonly affects young women aged 15-40. Diagnosis is based on the characteristic rash and response to stopping the causative agent. Treatment involves stopping usage of topical corticosteroids or other triggers, along with topical or oral antibiotics like metronidazole or tetracyclines.

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    Perioral Dermatitis Slide

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    kacaacdhgjhlk
    256 views19 pages
    Perioral dermatitis is an eruption of small papules and pustules around the mouth, often caused by topical corticosteroids or cosmetics. It commonly affects young women aged 15-40. Diagnosis is based on the characteristic rash and response to stopping the causative agent. Treatment involves stopping usage of topical corticosteroids or other triggers, along with topical or oral antibiotics like metronidazole or tetracyclines.

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    Perioral dermatitis is an eruption of small papules and pustules around the mouth, often caused by topical corticosteroids or cosmetics. It commonly affects young women aged 15-40. Diagnosis is based on the characteristic rash and response to stopping the causative agent. Treatment involves stopping usage of topical corticosteroids or other triggers, along with topical or oral antibiotics like metronidazole or tetracyclines.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    256 views19 pages

    Perioral Dermatitis Slide

    Uploaded by

    kacaacdhgjhlk
    Perioral dermatitis is an eruption of small papules and pustules around the mouth, often caused by topical corticosteroids or cosmetics. It commonly affects young women aged 15-40. Diagnosis is based on the characteristic rash and response to stopping the causative agent. Treatment involves stopping usage of topical corticosteroids or other triggers, along with topical or oral antibiotics like metronidazole or tetracyclines.

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    Presented By:

    1. 2. 3.

    Ira Ulil Inayah Wahid C 111 07 239 Christya Lorena G C 111 07 263 Siti Alis Solihan bt Ramli C 111 07 295 Advisor: dr. Hartati Supervisor: dr. Dirmawati Kadir, Sp. KK
    1

    Introduction:
    Perioral dermatitis (PD) is an eruption of

    papules or small papulopustules around the


    mouth. Usually as a respond to topical

    corticosteroid or cosmetics used.


    Its manifests as scaling, papules or

    papulopustules with erithematous


    background.
    2

    Epidemiology
    Perioral dermatitis (PD) is most commonly

    found in young women at their age of 15-40 years old with peak incidens at 25-35 years old.
    In children girls and boys are in the same risk

    to develop PD
    3

    Etiology:
    Medications: misused of topical

    corticosteroid
    Cosmetics: toothpaste (due to the contain

    of flouride), lotion and cream which

    contain paraffin and isopropyl myristate

    Etiology:
    Physical factors: UV light, hot and

    polluted air
    Microbiology factors: Fusiform spirillia,

    Candidia, and Demodex folliculorum


    Other factors: hormonal factors, oral

    contraception, malabsorptions
    5

    Pathogenesis
    The exact pathogenesis of PD is

    unknown.
    But it is assumed that edema and

    vasodilatation of papillary dermis,


    perivascular and also infiltration of

    lymphocyte, histiocyte and PMN in


    parafollicular
    6

    Diagnosis
    Anamnesis:

    1. Usually the lesion


    appears for weeks to months 2. Itchy usually absent

    3. Burning sensation usually absent

    Diagnosis
    Lesion characteristics:

    1. Erythematous papulopustules on an
    erythematous background, symmetry, grouped

    as satellite .
    2. Confluent plaques may appear eczematous with tiny scales. There are no comedones.
    8

    Diagnosis:
    Predillections:

    Initially perioral. Rim of sparing around the vermilion border of lips.

    Differential diagnosis
    1. Allergy Contact dermatitis

    2. Atopic dermatitis
    3. Seborrhoic dermatitis 4. Rosasea 5. Acne vulgaris 6. Dermatitis liplicker
    10

    Dermatitis perioral

    Dermatitis perioral

    Allergy contact dermatitis

    Atopic dermatitis

    Seborrhoic dermatitis

    Rosasea

    Acne vulgaris

    Dermatitis liplicker

    11

    Management:
    1. Nonmedication:
    - Identify the causative agent (cosmetic or

    topical corticosteroid etc) and stop the

    usage. Beware of rebound phenomenon for


    corticosteroid usage.

    12

    Management:
    2. Medication: - Topical antibiotic most commonly use is Metronidazole - Systemic antibiotic most commonly used is Tetracyclin - Calcineurine inhibitor topical - Photodinamic therapy (5-aminolevulinic topical)
    13

    TOPIKAL

    DOSIS

    SISTEMIK

    DOSIS

    First line

    Metronidazol

    2x1

    Tetrasiklin Doksisiklin Minosiklin

    250-500 mg 2x1/hr 50-100 mg 2x1/hr 50-100 mg 2x1/hr

    Second line

    Eritromisin atau Klindamisin Sulfur Asam azelaic

    2x1 2x1 2x1 2x1

    Eritromisin

    400 mg 3x1/hr atau 30-50 mg/kgBB/hr

    14

    Complication:
    Psychological and can cause lack of self

    confidence
    Rebound phenomena due to stoppage of

    corticosteroid

    15

    Prognosis:
    Cureable with broad spectrum antibiotics
    Relapse to some patients If not immediately treated or if topical

    corticosteroid is continously used this PD


    can progress to years
    16

    Conclusion:
    PD is eruption of Perioral dermatitis is an

    eruption of papules or small papulopustules


    around the mouth. Usually as a respond to topical corticosteroid or cosmetics used.
    Its manifests as scaling, papules or

    papulopustules with eritematous background.


    17

    Conclusion:
    Perioral dermatitis (PD) is most commonly

    found in young women at their age of 15-40 years old with peak incidens at 25-35 years old. To manage PD, stop the usage of causative agent. Give topical antibiotic (Metronidazole), systemic antibiotic most commonly used is Tetracyclin
    18

    Thank You

    19

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