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Zalaudek, I; Di Stefani, A; Ferrara, G; Argenziano, G.
Childhood granulomatous periorificial dermatitis: a controversial disease.
J Dtsch Dermatol Ges. 2005; 3(4): 252-255. Doi: 10.1111/j.1610-0387.2005.05009.x (- Case Report)
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Zalaudek Iris
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Abstract:
The etiology, diagnosis and treatment of childhood granulomatous periorificial dermatitis (GPD) are highly controversial. Some authors underline the similarities between GPD and perioral dermatitis and consider both as part of a spectrum while other authors regard GPD as a distinctive condition. Clinically GPD is a papulo-pustular periorificial disease of the face which histopathologically shows a granulomatous perifollicular infiltrate. Because of its granulomatous pattern, GPD also has been related to cutaneous sarcoidosis. The clinical course is benign and self-limited. Topical steroids are regarded as either the main cause or a worsening factor. While topical treatment is occasionally effective, systemic antibiotic therapy of GPD is usually recommended. We report a "typical" case of GPD and review the literature to discuss the difficulties in its diagnosis and treatment.
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Adolescent -
Anti-Bacterial Agents - therapeutic use
Dermatitis, Contact - drug therapy
Facial Dermatoses - chemically induced
Granulomatosis, Orofacial - chemically induced
Humans - chemically induced
Hydrocortisone - adverse effects
Male - adverse effects
Treatment Outcome - adverse effects

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