Lupoid perioral dermatitis L71.0

Variant of perioral dermatitis (see below Dermatitis perioralis) with numerous, follicular, red or brown, 0.1-0.2 cm large papules and pustules

A special form of this disease is the so-called granulomatous periorificial dermatitis of childhood. S.u. dermatitis, perioral granulomatous childhood dermatitis.

Bacterial contamination via fatty ointment bases. Locally applied glucocorticoids also seem to have an etiopathogenetic significance.

Women clearly preferred; first manifestation between the age of 15-40 years.

two-dimensional perioral erythema with free (skin-coloured) narrow perilabial border, 0.1-0.2cm large, red, brown, follicular papules and few pustules.

Perioral redness and scaling; free perilabial border (here the hair-bearing follicles are missing); on close inspection densely standing inflammatory papules and pustules are visible.

In addition to an unspecific, chronically inflammatory infiltrate, non-keratinizing tuberculoid granulomas with epithelial cells and giant cells that are clearly related to the follicular epithelium are also present.

Lupoid Rosacea

Disseminated miliary lupus of the face.

Corresponding to dermatitis perioralis.

1. Baratli J et al (2013) Lupoide perioral dermatitis. Dermatologist 64: 888-890
2. Engelmann L (1989) Lupoide perioral dermatitis. Dermatology in picture 11: 5-12
3. Marghescu S (1988) Lupoid form of rosacea-like dermatitis. dermatologist 39: 382-383
4. Zaluadek I et al (2005) Granulomatous periorificial dermatitis of childhood: A controversial entity. JDDG 3: 252-255