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[Perioral dermatitis].

P Fritsch1, E Pichler, I Linser

  • 1Universitätsklinik für Dermatologie und Venerologie Innsbruck.

Der Hautarzt; Zeitschrift Fur Dermatologie, Venerologie, Und Verwandte Gebiete
|August 1, 1989
PubMed
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Perioral dermatitis, a skin reaction often linked to dry skin, is caused by frequent use of moisturizing creams. Reducing cream application to only when needed can resolve symptoms within a month.

Area of Science:

  • Dermatology
  • Cutaneous immunology

Context:

  • Perioral dermatitis is a common facial skin condition.
  • Its pathogenesis is often misunderstood, with various proposed causes.
  • The role of topical treatments, particularly moisturizers, is debated.

Purpose:

  • To present a unifying concept for the pathogenesis of perioral dermatitis.
  • To elucidate the mechanism by which moisturizing creams contribute to the condition.
  • To propose a simple and effective therapeutic approach based on the proposed pathogenesis.

Summary:

  • Perioral dermatitis is viewed as a cutaneous intolerance reaction associated with inherently dry skin, sometimes with a history of atopic dermatitis.
  • The condition is precipitated by the habitual and abundant application of moisturizing creams, irrespective of their specific type or content.

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  • The proposed pathomechanism involves persistent hydration of the stratum corneum, leading to impaired barrier function and subsequent proliferation of skin microflora. Topical corticosteroids may exacerbate but do not cause the condition.

    • Impact:

    • This unifying concept offers a clear understanding of perioral dermatitis development.
    • It highlights the crucial role of application frequency over product type in moisturizer-induced skin reactions.
    • The proposed therapeutic strategy—reducing moisturizer application frequency—provides a simple, effective, and non-pharmacological treatment, generally resolving symptoms within a month.