Erythema perstans faciei L53.83

Here defined as descriptive clinical symptom for:

• harmless, symmetrically arranged, deep red, permanently or alternately persistent, mostly symmetrical facial erythema (possibly associated with bilateral swelling) as an expression of "inflammation-induced or vegetative irritation". Suction. Type rusticanus!
• often the appearance is associated with a keratosis pilaris, or is a partial symptom of a generalized keratosis pilaris syndrome

• Appears already at a young age.
• w > m
• More frequent occurrence (in connection with keratosis pilaris) in the so-called type rusticanus.

• Chronic, asymptomatic (or with few symptoms; possibly slight feeling of tension), blurred, symmetrical, homogeneous redness (possibly with swelling) of the lateral cheeks as well as centrofacial parts of the face with sharp recess of the perioral region. Dry skin, possibly also slightly scaly.
• Often combined with keratosis pilaris and ulerythema ophryogenes as partial symptoms of the keratosis pilaris syndrome.

Causal therapy not known. Intensified facial care.

The term "erythema perstans" is used in different ways in international literature, including as a synonym for the erythema anulare centrifugum . Other authors refer to an erythematous form of cutaneous lupus erythematosus as erythema perstans faciei. The term "Erythema perstans" is also used in the term: Erythema dyschromicum perstans.

1. Kazandjieva J et al (2014) The red face revisited: connective tissue disorders. Clin Dermatol 32:153-158