DOI: http://dx.doi.org/10.18203/issn.2455-4529.IntJResDermatol20175371

Spectrum of periorbital dermatoses in a tertiary care centre in Puducherry

R. Indradevi, P. Oudeacoumar, Varsha Medasani, Chitralekhya Rao

Abstract


Background: Periorbital dermatoses are dermatological manifestations of the area around the eyes. They are the most commonly encountered dermatoses in routine dermatological practice posing both diagnostic and therapeutic challenge for dermatologists due to the similarity of symptoms and close proximity to the eyeball. In the present study, our aim is to study the spectrum of periorbital dermatoses in a tertiary care centre in Puducherry.

Methods: This was a hospital based study in which all the patients attending dermatology OPD irrespective of their age and sex were screened for periorbital dermatoses over a period of 1 year from February 2016 to January 2017. Screening resulted in 300 consenting patients with periorbital lesions. They were subjected to detailed history followed by clinical examination and relevant laboratory investigations. Clinical photographs of all patients were taken.

Results: The most common dermatological conditions observed in periorbital region in our study were tumours (benign and malignant) (26.3%) followed by pigmentation (19.3%), eczema (17.3%), infections (13%), nevoid condition (10%), connective tissue disorders (2.6%), miscellaneous conditions (8.2%). Certain periorbital dermatoses were significantly more in females compared to males such as skin tags, periorbital hyperpigmentation, connective tissue diseases.

Conclusions: The present study highlights the pattern of specific dermatoses in our hospital.


Keywords


Periorbital dermatoses, Tumours, Periorbital pigmentation

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References


Rebora A. Periorbital lesions. Clin Dermatol. 2011;29:151‑6.

Besra L, Jaisankar TJ, Thappa DM, Malathi M, Kumari R. Spectrum of periorbital dermatoses in South Indian population. Indian J Dermatol Venereol Leprol. 2013;79:399‑407.

Peralejo B, Beltrani V, Bielory L. Dermatologic and allergic conditions of the eyelid. Immunol Allergy Clin North Am. 2008;28:137‑68.

Yeatman JM, Kilkenny M, Marks R. The prevalence of seborrhoeic keratoses in an Australian population: Does exposure to sunlight play a part in their frequency? Br J Dermatol. 1997;137:411‑4.

Patrizi A, Neri I, Marzaduri S, Varotti E, Passarini B. Syringoma: A review of twenty‑nine cases. Acta Derm Venereol. 1998;78:460‑2.

Al Aradi IK. Periorbital syringoma: A pilot study of the efficacy of low‑voltage electrocoagulation. Dermatol Surg. 2006;32:1244‑50.

Bhargava P, Mathur SK, Mathur DK, Malpani S, Goel S, Agarwal US, et al. Acrochordon, diabetes and associations. Indian J Dermatol Venereol Leprol. 1996;62:226‑8.

Margo CE, Waltz K. Basal cell carcinoma of the eyelid and periocular skin. Surv Ophthalmol. 1993;38:169‑92.

Becher GL, Affleck A, Fleming C, Evans A. Linear basal cell carcinoma occurs most commonly on the lower eyelid. Clin Exp Dermatol. 2011;36:311‑2.

Malakar S, Lahiri K, Banerjee U, Mondal S, Sarangi S. Periorbital melanosis is an extension of pigmentary demarcation line‑F on face. Indian J Dermatol Venereol Leprol. 2007;73:323‑5.

Roh MR, Chung KY. Infraorbital dark circles: Definition, causes, and treatment options. Dermatol Surg. 2009;35:1163-71.

Borch JE, Elmquist JS, Bindslev‑Jensen C, Andersen KE. Phenylephrine and acute periorbital dermatitis. Contact Dermatitis. 2005;53:298‑9.

Ayala F, Fabbrocini G, Bacchilega R, Berardesca E, Caraffini S, Corazza M, et al. Eyelid dermatitis: An evaluation of 447 patients. Am J Contact Dermat. 2003;14:69‑74.

Dart JK, Leonard JN. The skin and the eyes. In: Burns T, Breathnach S, Cox N, Griffiths C, editors. Rook’s Textbook of Dermatology. 8th ed. Oxford: Blackwell Publishing; 2010: 67.1‑67.37.