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诊断病例:儿童肉芽肿性口周皮炎。

Case for diagnosis: childhood granulomatous periorificial dermatitis.

作者信息

Tiengo Adriana, Barros Hugo Rocha, Carvalho Daniele Bueno, Oliveira Gabriela Mantovanelli de, Romiti Ney

机构信息

Dermatology Service, University Center Lusíada, Santos(SP),Brazil.

出版信息

An Bras Dermatol. 2013 Jul-Aug;88(4):660-2. doi: 10.1590/abd1806-4841.20132021.

DOI:10.1590/abd1806-4841.20132021
PMID:24068149
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3760953/
Abstract

Childhood Granulomatous Periorificial Dermatitis is an acneiform facial rash that affects the periorificial area in children. The clinical aspectare asymptomatic 1-3 mm papules of, monomorphic, erythematous or hypopigmented in periorificial areas - mouth, nose and eyes. It's a benign and self-limited disease that heals spontaneously without scarring and specific therapy. Differential diagnoses include perioral dermatitis, granulomatous-rosacea, sarcoidosis, and lupus miliaris disseminatus faciei. We present the case of a 4-year-old boy, presenting papules in periorificials areas. Due to its low incidence and low number of publications we report the present case.

摘要

儿童肉芽肿性口周皮炎是一种影响儿童口周区域的痤疮样面部皮疹。临床表现为口周区域(口、鼻和眼)出现无症状的1 - 3毫米丘疹,形态单一,呈红斑或色素减退。这是一种良性的自限性疾病,无需特殊治疗即可自愈且不留疤痕。鉴别诊断包括口周皮炎、肉芽肿性酒渣鼻、结节病和面部播散性粟粒性狼疮。我们报告了一名4岁男孩口周区域出现丘疹的病例。鉴于其发病率低且相关文献报道较少,故呈现此病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6cb/3760953/df4e52db9c9f/abd-88-0660-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6cb/3760953/2fc6345299b7/abd-88-0660-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6cb/3760953/f02fb8122a48/abd-88-0660-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6cb/3760953/df4e52db9c9f/abd-88-0660-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6cb/3760953/2fc6345299b7/abd-88-0660-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6cb/3760953/f02fb8122a48/abd-88-0660-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6cb/3760953/df4e52db9c9f/abd-88-0660-g03.jpg

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本文引用的文献

1
Childhood granulomatous periorificial dermatitis.儿童肉芽肿性口周皮炎
Ann Dermatol. 2011 Aug;23(3):386-8. doi: 10.5021/ad.2011.23.3.386. Epub 2011 Aug 6.
2
Extrafacial and generalized granulomatous periorificial dermatitis.面部外及全身性肉芽肿性口周皮炎
Arch Dermatol. 2002 Oct;138(10):1354-8. doi: 10.1001/archderm.138.10.1354.
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Childhood granulomatous periorificial dermatitis.儿童肉芽肿性口周皮炎
Rev Paul Pediatr. 2018 Oct-Dec;36(4):511-514. doi: 10.1590/1984-0462/;2018;36;4;00004. Epub 2018 Jul 10.
Pediatr Dermatol. 1996 Mar-Apr;13(2):131-4. doi: 10.1111/j.1525-1470.1996.tb01419.x.
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Childhood rosacea.儿童酒渣鼻
Pediatr Dermatol. 1992 Mar;9(1):22-6. doi: 10.1111/j.1525-1470.1992.tb00320.x.