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  Authority of Polish Society of Allergology

vol 19. no 2. June 2014  

 Review articles
Periorbital skin lesions – when the allergy will be suspected? The diagnostic and therapeutic recommendations
Ewa Bogacka, Joanna Salomon, Małgorzata Tupikowska

Periocular skin illness is a common diagnostic and therapeutic problem.
Correct diagnosis and treatment require interdisciplinary experience. This
article is about skin changes caused by such entities of ocular allergy as
AKC (Atopic Keratoconjunctivitis), CBC (Contact Blepharoconjunctivitis)
and AAC (Acute Allergic Conjunctivitis) as well as changes in the orbit
without conjunctivitis, such as contact allergy and toxic reactions to
drugs, cosmetics and preservatives. Emollients, calcineurin inhibitors and
use of short-term soft steroids are recommended means of treatment for
periocular skin illness. Antihistamines are used in systemic therapy, while
cyclosporine is used additionally in AKC cases. Differential diagnosis include
toxic and mechanical reactions as well as the following skin diseases:
acne rosacea, seborrheic dermatitis, dermatitis periocularis, viral and bacterial
infections, CP (cicatricial pemphigoid), poststeroid erythema and
DM (dermatomyositis).

keywords: atopowe zapalenie spojówek i rogówki, kontaktowe zapalenie spojówek i rogówki, wyprysk kontaktowy, uczulenia na kosmetyki i konserwanty,AKC (Atopic keratoconjunctivitis) CBC (Contact Blepharoconjunctivitis Eczema, Allergy to cosmetics and preservatives

pages: from 74 to 79

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