علاج التهاب الجلد حول الفم الناجم عن المستحضرات الموضعية للبشرة

References

DOI: 10.1016/j.clindermatol.2013.05.034

• The first step in the therapeutic management of PD should be the discontinuation of all suspected topical treatments, although this usually leads to relapse of the skin lesion.
• The physician should insist on the abandonment of all cosmetics, soaps, detergents, moisturizers, abrasives, astringents, day or night creams, and skin conditioners.
• The patient should be told to wash with mild water only; some authors suggest the use of fingers.
• This "null (zero) therapy" is hard for many patients to follow, so local neutral treatments involving neutral local creams and compresses (eg, chamomile tea, physiologic solution) may be used.
• Some investigators treat patients with rebound phenomena with hydrocortisone, which reduces the violence of the rebound reaction while allowing the atrophic collagen to recover.
• Others taper the dose of topical corticosteroids by reducing the frequency of administration.
• There is gradual disappearance of all symptoms, and relapses are rare unless corticosteroids are repeatedly administered.
• Patients have to be told that exacerbations are to be expected, that it may take many weeks for the skin to clear, and that the disease slowly regresses when exogenous factors are stopped.