Perioral dermatitis

Perioral dermatitis
Perioral dermatitis
ICD-10	L71.0
ICD-9	695.3
DiseasesDB	31371
MedlinePlus	001455
eMedicine	derm/321
MeSH	D019557

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

Overview

Perioral dermatitis, a condition related to acne vulgaris, consists of red papules that may appear microvesicular that typically effect the nasolabial folds, perioral area or perioccular area. It usually affects women between the ages of 20 and 45.

Causes

It is commonly caused by the use of fluorinated topical glucocorticoid steroids (e.g. Clocortolone pivalate, Diflorasone)to this area.

Drug Induced

• Halcinonide
• Hydrocortisone butyrate

Diagnosis

Physical Examination

Face

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  Perioral dermatitis. With permission from Dermatology Atlas.

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  Perioral dermatitis. With permission from Dermatology Atlas.

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  Perioral dermatitis. Adapted from Dermatology Atlas.

Treatment

It is treated in a similar manner to acne vulgaris with tetracycline antibiotics or erythromycin but, without the use of topical steroids.

References

• "Perioral Dermatitis - Patient pamphlet". American Academy of Dermatology. 2006. Retrieved on 2006-04-03.
• Hans J Kammler (2005-02-23). "Perioral Dermatitis". American Academy of Dermatology. Retrieved on 2006-04-03.