Periocular dermatoses

Chang, Patricia; Moreno‐Coutiño, Gabriela

doi:10.1016/j.ijwd.2017.08.001

Cited by 4 publications

(4 citation statements)

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“…Periocular dermatitis (PD) refers to skin changes in the periocular region, which are relatively common in clinical practice, as a number of different diseases can occur in this area, often with limited diagnostics that rarely take the microbiological composition of the skin into account. These skin changes occur most often in AD, seborrheic dermatitis, contact dermatitis, rosacea, and psoriasis [ 84 , 85 ], as well as certain infectious diseases such as erysipelas, impetigo, lues, zoster, HIV and other localized and systemic bacterial diseases, viral infections, and fungal infections [ 86 ]. According to recent studies, the largest number of patients who present with PD have contact dermatitis, followed by AD and irritative dermatitis, and less often psoriasis, seborrheic dermatitis, rosacea, and dermatomyositis.…”

Section: Periocular Dermatitismentioning

confidence: 99%

Features of the Skin Microbiota in Common Inflammatory Skin Diseases

Ferček

Lugović-Mihić

Tambić-Andrašević

et al. 2021

Life

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Many relatively common chronic inflammatory skin diseases manifest on the face (seborrheic dermatitis, rosacea, acne, perioral/periorificial dermatitis, periocular dermatitis, etc.), thereby significantly impairing patient appearance and quality of life. Given the yet unexplained pathogenesis and numerous factors involved, these diseases often present therapeutic challenges. The term “microbiome” comprises the totality of microorganisms (microbiota), their genomes, and environmental factors in a particular environment. Changes in human skin microbiota composition and/or functionality are believed to trigger immune dysregulation, and consequently an inflammatory response, thereby playing a potentially significant role in the clinical manifestations and treatment of these diseases. Although cultivation methods have traditionally been used in studies of bacterial microbiome species, a large number of bacterial strains cannot be grown in the laboratory. Since standard culture-dependent methods detect fewer than 1% of all bacterial species, a metagenomic approach could be used to detect bacteria that cannot be cultivated. The skin microbiome exhibits spatial distribution associated with the microenvironment (sebaceous, moist, and dry areas). However, although disturbance of the skin microbiome can lead to a number of pathological conditions and diseases, it is still not clear whether skin diseases result from change in the microbiome or cause such a change. Thus far, the skin microbiome has been studied in atopic dermatitis, seborrheic dermatitis, psoriasis, acne, and rosacea. Studies on the possible association between changes in the microbiome and their association with skin diseases have improved the understanding of disease development, diagnostics, and therapeutics. The identification of the bacterial markers associated with particular inflammatory skin diseases would significantly accelerate the diagnostics and reduce treatment costs. Microbiota research and determination could facilitate the identification of potential causes of skin diseases that cannot be detected by simpler methods, thereby contributing to the design and development of more effective therapies.

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Section: Periocular Dermatitismentioning

confidence: 99%

Features of the Skin Microbiota in Common Inflammatory Skin Diseases

Ferček

Lugović-Mihić

Tambić-Andrašević

et al. 2021

Life

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“…The periocular area may present with various conditions which could either be infectious or non-infectious diseases such as inflammatory dermatoses, systemic disease, drug reactions, benign and malignant lesions, traumatic lesions, pigmentary changes and aesthetic complications. 3 Adequate data about the frequency and distribution of spectrum of periorbital dermatoses in India is lacking. Hence this cross sectional study was undertaken in our institute to study the clinical spectrum of periorbital dermatoses and to assess the association of systemic diseases with periorbital dermatoses.…”

Section: Introductionmentioning

confidence: 99%

A cross sectional study of periorbital dermatoses in a tertiary care hospital in South India

Shetty¹,

Sowmya²

2020

IJCED

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Introduction: Periorbital dermatoses are the dermatological manifestations of the area around the eye excluding eyelid. It greatly affects quality of life. As there is lack of adequate data about frequency and distribution of periorbital dermatoses, there is need for studies to be conducted to study clinical patterns of periorbital dermatoses. Aesthetic facial concerns have been the main reason for dermatological consults in the last few years, one among which is the periorbital dermatoses. Methodology: It was a hospital based cross sectional study of 75 patients, attending Dermatology OPD in a tertiary care hospital, with complains of periorbital dermatoses. Detailed history, general physical, and detailed cutaneous examination was done in all patients included in the study. Clinical tests, routine haematological investigations & skin biopsy were performed in relevant cases.Results and Discussion: Among 75 patients, common dermatological condition distributed in the periorbital region was periorbital tumors 26 patients(34.7%), pigmentary disorders 18(24%) ,dermatitis 18(24%) infections 7(9.33%) and miscellaneous 6(8%). Among all seborrheic keratosis and periorbital hyperpigmentation were observed to be the commonest conditions in our study. Conclusion:Certain periorbital dermatoses are heralding features of underlying systemic disease, so it helps in early diagnosis and treatment of underlying condition. In our study periorbital tumours were the commonest dermatoses seen.

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“…To our knowledge, its dermoscopy has not been previously reported in the literature. The differential diagnosis can be made, among others, with a wart, a squamous cell carcinoma, a pilomatricoma, a molluscum contagiosum or a sebaceous cyst [7,8]. Hence the interest of dermoscopy, that can rule out these different diagnoses by showing the dermal calcium deposits.…”

Section: Discussionmentioning

confidence: 99%

Clinical and Dermoscopic Features of Winer's Nodular Solitary Calcinosis

Asermouh

Maouni

Khabba

et al. 2023

AJPR

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Aims: Solitary nodular calcinosis of Winer is a rare and benign form of localized idiopathic cutaneous calcinosis. Its dermoscopic features may be useful for early diagnosis, but have never been described in the literature to our knowledge. Case Report: A 5-year-old child presented to our clinic with a 2 years history of a painless keratotic and warty nodule located in the helix of the right ear. A wart was suspected and treated without any improvement. Dermoscopy was performed and showed peripheral white deposits suggestive of Winer's calcinosis, motivating an excision whose histological examination confirmed the diagnosis. Discussion: The subepidermal calcified nodule has been rarely described in the literature. It is not known to be associated with a disorder of phosphocalcium metabolism or other systemic diseases. Pathogenic hypotheses include calcification of preexisting skin structures, mast cell degranulation with secondary calcinosis, or prior trauma. Surgical excision with histopathological confirmation is necessary to show the dermal calcium deposits, which are usually amorphous and granular and may be surrounded by a lymphohistiocytic infiltrate or giant cells. Nevertheless, dermatoscopic evaluation can aid in rendering a timely diagnosis by showing these whitish dermal deposits. Conclusion: The diagnosis of Winer's nodular calcinosis has always been based on histology, but the dermoscopy described here for the first time is so suggestive that it can be used to save time and exclude other differential diagnoses.

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Periocular dermatoses

Abstract: The periocular area may be affected by infectious or noninfectious diseases such as inflammatory dermatoses, systemic disease, drug reactions, benign and malignant lesions, traumatic lesions, and esthetic complications. We present a review of the most common periocular dermatoses.

Cited by 4 publications

References 83 publications

Features of the Skin Microbiota in Common Inflammatory Skin Diseases

Features of the Skin Microbiota in Common Inflammatory Skin Diseases

A cross sectional study of periorbital dermatoses in a tertiary care hospital in South India

Clinical and Dermoscopic Features of Winer's Nodular Solitary Calcinosis

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