Lupoid perioral dermatitis L71.0

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Perioral lupoid dermatitis

Definition
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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.

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

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

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

Clinical features
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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.

Histology
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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.

Differential diagnosis
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Therapy
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Corresponding to dermatitis perioralis.

Literature
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  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

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020