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Perioral dermatitis in children
1Department of Dermatology, State University of New York, Health Science Center at Brooklyn, 11203, USA.
Seminars in Cutaneous Medicine and Surgery
|September 1, 1999
Summary
Perioral dermatitis, a childhood skin condition, likely stems from topical corticosteroid use. Treatment involves discontinuing steroids and using topical or oral antibiotics.
Area of Science:
- Pediatric Dermatology
- Dermatopathology
Background:
- Perioral dermatitis is a distinct facial skin condition observed in children.
- Its etiology is often linked to exogenous factors, notably topical fluorinated corticosteroids.
Purpose of the Study:
- To describe the clinical presentation, histological findings, and treatment of childhood perioral dermatitis.
- To explore the potential relationship between childhood perioral dermatitis and rosacea.
Main Methods:
- Clinical observation and case review of pediatric patients diagnosed with perioral dermatitis.
- Histopathological analysis of skin biopsies.
- Evaluation of treatment outcomes with topical and oral medications.
Main Results:
- The condition affects children aged 7 months to 13 years, with a median age in the prepubertal period.
- Clinical features include periorificial papules and erythema, with no systemic symptoms.
- Histology shows perifollicular granulomas, similar to rosacea.
Conclusions:
- Childhood perioral dermatitis is characterized by specific clinical and histological findings.
- Discontinuation of topical corticosteroids and use of metronidazole or antibiotics are effective treatments.
- The condition may represent a juvenile form of rosacea.
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