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口周皮炎:一种罕见的病症?

Perioral dermatitis: an uncommon condition?

作者信息

Hogan D J, Epstein J D, Lane P R

出版信息

CMAJ. 1986 May 1;134(9):1025-8.

PMID:2938708
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1491002/
Abstract

To document the persistence of perioral dermatitis at dermatology clinics at University Hospital, Saskatoon, we reviewed the charts of all patients with the condition seen between January 1983 and March 1985. Patients with rosacea referred to the clinics during the same period were used as a comparison group. A total of 80 patients with perioral dermatitis and 117 patients with rosacea were seen during the study period; most were female. Those with perioral dermatitis were significantly younger and had a significantly shorter mean duration of the eruption before presentation than those with rosacea (p less than 0.001). The distribution of the lesions was different in the two groups. Sixty-eight (85%) of the patients with perioral dermatitis and 45 (38%) of those with rosacea had used topical corticosteroids, a postulated risk factor for perioral dermatitis; the use of potent topical corticosteroids was frequent in both groups. Despite continuing medical education on the dangers of chronic use of these agents for eruptions on the face, physicians continue to prescribe them.

摘要

为记录萨斯卡通市大学医院皮肤科门诊口周皮炎的持续情况,我们查阅了1983年1月至1985年3月期间所有患有该疾病患者的病历。将同期转诊至该门诊的酒渣鼻患者作为对照组。在研究期间,共诊治了80例口周皮炎患者和117例酒渣鼻患者;大多数为女性。口周皮炎患者比酒渣鼻患者明显年轻,且就诊前皮疹的平均持续时间明显更短(p<0.001)。两组的皮损分布不同。68例(85%)口周皮炎患者和45例(38%)酒渣鼻患者曾使用外用糖皮质激素,这是口周皮炎的一个假定危险因素;两组中强效外用糖皮质激素的使用都很常见。尽管一直在进行关于长期使用这些药物治疗面部皮疹危险性的医学继续教育,但医生仍继续开具此类药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ce4/1491002/dc9bd8279c3c/cmaj00117-0053-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ce4/1491002/c65b95b17835/cmaj00117-0052-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ce4/1491002/e4b95e5ac805/cmaj00117-0052-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ce4/1491002/dc9bd8279c3c/cmaj00117-0053-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ce4/1491002/c65b95b17835/cmaj00117-0052-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ce4/1491002/e4b95e5ac805/cmaj00117-0052-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ce4/1491002/dc9bd8279c3c/cmaj00117-0053-a.jpg

相似文献

1
Perioral dermatitis: an uncommon condition?口周皮炎:一种罕见的病症?
CMAJ. 1986 May 1;134(9):1025-8.
2
[Rosacea-like dermatitis of the face. "Perioral dermatitis"].[面部酒渣鼻样皮炎。“口周皮炎”]
Hautarzt. 1969 Jun;20(6):287.
3
Topical corticosteroid-induced rosacea-like dermatitis: a clinical study of 110 cases.外用皮质类固醇引起的酒渣鼻样皮炎:110 例临床研究。
Indian J Dermatol Venereol Leprol. 2011 Jan-Feb;77(1):42-6. doi: 10.4103/0378-6323.74974.
4
[Rosacea-like dermatitis of the face. "Perioral dermatitis"].[面部酒渣鼻样皮炎。“口周皮炎”]
Hautarzt. 1969 Jun;20(6):288.
5
An open-label pilot study to evaluate the safety and efficacy of topically applied pimecrolimus cream for the treatment of steroid-induced rosacea-like eruption.一项开放标签的试点研究,以评估局部应用吡美莫司乳膏治疗类固醇诱导的酒渣鼻样皮疹的安全性和有效性。
J Eur Acad Dermatol Venereol. 2007 Apr;21(4):484-90. doi: 10.1111/j.1468-3083.2006.01991.x.
6
[Perioral (rosaceiforme) dermatitis--a "modern" problem disease].[口周(酒渣鼻样)皮炎——一种“现代”问题疾病]
Internist (Berl). 1975 Jan;16(1):27-8.
7
[Origin and significance of perioral dermatitis (author's transl)].口周皮炎的起源及意义(作者译)
MMW Munch Med Wochenschr. 1977 Jan 14;119(2):49-52.
8
[Perioral dermatitis--an allergic disease?].[口周皮炎——一种过敏性疾病?]
Hautarzt. 1978 Feb;29(2):89-91.
9
Topical corticosteroid 'addiction'. A cause of perioral dermatitis.外用糖皮质激素“成瘾”。口周皮炎的一个病因。
Postgrad Med. 1993 Apr;93(5):225-30. doi: 10.1080/00325481.1993.11701671.
10
[Pathogenesis of perioral dermatitis].[口周皮炎的发病机制]
Vestn Dermatol Venerol. 1978 Sep(9):62-6.

引用本文的文献

1
Clinical pharmacology and pharmacokinetic properties of topically applied corticosteroids. A review.局部应用皮质类固醇的临床药理学和药代动力学特性。综述。
Drugs. 1988;36 Suppl 5:51-61. doi: 10.2165/00003495-198800365-00011.

本文引用的文献

1
PERIORAL DERMATITIS.口周皮炎
Arch Dermatol. 1964 Jun;89:803-5. doi: 10.1001/archderm.1964.01590300031010.
2
What is perioral dermatitis?什么是口周皮炎?
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Tinea incognito.隐匿性癣
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Perioral dermatitis. A histopathologic study of 26 cases.口周皮炎。26例组织病理学研究。
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Perioral dermatitis.口周皮炎
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Iatrogenic disease in general practice: its incidence and effects.全科医疗中的医源性疾病:其发生率及影响。
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Steroid rosacea.类固醇性酒渣鼻
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The pathogenesis of topical steroid acne.外用糖皮质激素性痤疮的发病机制。
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Perioral dermatitis.口周皮炎
Br J Dermatol. 1972 Nov;87(5):430-4. doi: 10.1111/j.1365-2133.1972.tb01590.x.
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Rosacea-like dermatitis: contraindication or intolerance reaction to strong steroids.酒渣鼻样皮炎:对强效类固醇的禁忌或不耐受反应。
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