Lupoid perioral dermatitisL71.0

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

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DefinitionThis section has been translated automatically.

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.

EtiopathogenesisThis section has been translated automatically.

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

ManifestationThis section has been translated automatically.

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

Efflorescence(s)This section has been translated automatically.

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

Clinical featuresThis section has been translated automatically.

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.

HistologyThis section has been translated automatically.

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 diagnosisThis section has been translated automatically.

Lupoid rosacea, Lupus miliaris disseminatus faciei.

TherapyThis section has been translated automatically.

Corresponding to dermatitis perioralis.

LiteratureThis section has been translated automatically.

  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

Authors

Last updated on: 29.10.2020

Author: Prof. Dr. med. Peter Altmeyer