What Is Periorificial Dermatitis?
Facial recurrent dermatitis is a mild erythematous scaly skin disease that occurs on the face. It is also known as recurrent flushing and desquamative facial erythroderma and bran dermatitis of the face and neck. It is more common in women 20 to 40 years old. Age and men can also be seen, mostly onset in spring and autumn. The main clinical manifestations are mild localized erythema on the face and fine bran-like scales. Sudden onset, conscious pruritus, subsided after about 1 week, easily recurred, and difficult to heal.
Basic Information
- nickname
- Recurrent flushing and desquamative facial erythroderma and facial dermatitis
- Visiting department
- dermatology
- Common locations
- 20 to 40 year old women
- Common causes
- Unknown cause
- Common symptoms
- Mild localized erythema, fine bran-like scales on the face, sudden onset, conscious itching, subsided after about 1 week
Causes of recurrent facial dermatitis
- The etiology is unknown, and it is related to a variety of factors, such as cosmetics, pollen, dust, warmth, constipation, neuropsychiatric factors, vitamin deficiency, and sun exposure.
Clinical manifestations of facial recurrent dermatitis
- Sudden onset, onset around the eyelids, and gradually expand to the cheeks, ears, can affect all the face, can also occur in the neck and chest, but the trunk, limbs and other places are not involved. Skin lesions are mildly limited erythema, fine bran-like scales, and some may be slightly swollen, but without papules, blisters, infiltration, and lichenification. Repeated recurrence may have pigmentation and conscious itching. It usually occurs in spring and autumn. The rash subsides after about one week, but it can recur.
Facial recurrent dermatitis test
- Patch test: A patch test or a light patch test for a suspected pathogenic cosmetic or other substance is performed. A positive patch test indicates that the test substance is an allergen.
Diagnosis of recurrent facial dermatitis
- According to the onset of spring and autumn, it is more common in epidemiological features such as 20 to 40-year-old women, and typical clinical manifestations: skin lesions occur on the face, are mild localized erythema, fine bran-like scales, sudden onset, conscious itching, menstruation It resolves in about 1 week, but it can be recurred, and a diagnosis can be made with a positive patch test.
Differential diagnosis of facial recurrent dermatitis
- 1. Children with simple pityriasis on the face are more common, and the skin lesions are hypopigmented spots, covered with bran-like scales, and no erythema.
2. Facial polymorphism of facial eczema, including pimples, papules, erosions, exudate or mossy, etc., itching.
3 Seborrheic dermatitis is covered with oily scales or scales on the erythema of the face, papules can be seen, and other seborrheic parts of the body can also occur, chronically passing.
4. The onset of contact dermatitis has nothing to do with the season, there is a significant history of contact, the skin lesions are obvious redness and swelling or there are dense papules and blisters.
Facial recurrent dermatitis treatment
- 1. Generally wash your face after going out, do not use cosmetics and strong alkaline soap, and do not eat irritating food.
2. Drug treatment (1) Systemic treatment: Oral vitamin C, vitamin B family, and oral antihistamines (such as loratadine, cetirizine, etc.) can relieve symptoms if necessary. Traditional Chinese medicine has a certain effect on this disease.
(2) Local treatment: topical non-irritating, mild-acting emollients, such as vitamin E cream; if necessary, you can use hormone preparations such as hydrocortisone cream or 17-butyric hydrocortisone cream, as short as possible ; You can also choose non-hormonal topical preparations such as butyl flufenamic acid ointment, pimecrolimus; those with inflammatory pimples can use metronidazole gel or metronidazole cream, or erythromycin eye ointment and other drugs. Local treatments such as cold spray and wet compress can also be used.
Facial recurrence dermatitis prognosis
- Seasonal, prone to relapse, and pigmentation when repeated.
Facial recurrent dermatitis prevention
- Pay attention to sun protection when going out, avoid contact with allergens, and protect yourself. Wash your face after going out. Use less or no cosmetics and alkaline soap.
Facial recurrent dermatitis care
- Reduce stress and anxiety, eat a reasonable diet, avoid a variety of spicy and irritating foods and avoid contact with irritating or allergenic substances. Pay attention to skin moisturization, keep skin clean and prevent skin dryness.