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Perioral dermatitis in children.

T A Laude¹, J N Salvemini

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

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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:

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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.