Perioral dermatitis: Diagnosis, proposed etiologies, and management.


Journal

Journal of cosmetic dermatology
ISSN: 1473-2165
Titre abrégé: J Cosmet Dermatol
Pays: England
ID NLM: 101130964

Informations de publication

Date de publication:
Dec 2021
Historique:
received: 19 01 2021
accepted: 05 03 2021
pubmed: 23 3 2021
medline: 15 12 2021
entrez: 22 3 2021
Statut: ppublish

Résumé

Perioral dermatitis is a common cutaneous condition characterized by acneiform facial eruptions often with an eczematous appearance. A granulomatous subtype exists in addition to the classic variant. While topical corticosteroids have been largely implicated in this condition, its etiology is not completely understood. Using the keywords "corticosteroids," "dermatology," "fusobacteria," "perioral dermatitis," and "periorificial dermatitis," we searched the databases PubMed, MEDLINE, and EMBASE to find the relevant literature. Only articles in English were chosen. The level of evidence was evaluated and selected according to the highest level working our way downwards using the Oxford Centre of Evidence-Based Medicine 2011 guidance. This systematic review found the strongest evidence to support topical corticosteroid misuse as the principal causative factor in the pathogenesis of perioral dermatitis. In terms of treatment, further research is required to robustly investigate promising treatment options including tetracyclines, topical metronidazole, topical azelaic acid, adapalene gel, and oral isotretinoin.

Sections du résumé

BACKGROUND AND AIMS OBJECTIVE
Perioral dermatitis is a common cutaneous condition characterized by acneiform facial eruptions often with an eczematous appearance. A granulomatous subtype exists in addition to the classic variant. While topical corticosteroids have been largely implicated in this condition, its etiology is not completely understood.
METHODS METHODS
Using the keywords "corticosteroids," "dermatology," "fusobacteria," "perioral dermatitis," and "periorificial dermatitis," we searched the databases PubMed, MEDLINE, and EMBASE to find the relevant literature. Only articles in English were chosen. The level of evidence was evaluated and selected according to the highest level working our way downwards using the Oxford Centre of Evidence-Based Medicine 2011 guidance.
RESULTS RESULTS
This systematic review found the strongest evidence to support topical corticosteroid misuse as the principal causative factor in the pathogenesis of perioral dermatitis.
CONCLUSION CONCLUSIONS
In terms of treatment, further research is required to robustly investigate promising treatment options including tetracyclines, topical metronidazole, topical azelaic acid, adapalene gel, and oral isotretinoin.

Identifiants

pubmed: 33751778
doi: 10.1111/jocd.14060
doi:

Substances chimiques

Anti-Bacterial Agents 0
Dermatologic Agents 0
Metronidazole 140QMO216E
Isotretinoin EH28UP18IF

Types de publication

Journal Article Review Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

3839-3848

Informations de copyright

© 2021 Wiley Periodicals LLC.

Références

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Auteurs

Tamara Searle (T)

University of Birmingham Medical School, Birmingham, UK.

Faisal R Ali (FR)

Dermatological Surgery & Laser Unit, St John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, London, UK.

Firas Al-Niaimi (F)

Department of Dermatology, Aalborg University Hospital, Aalborg, Denmark.

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