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Perioral dermatitis in childhood.

S M Manders1, A W Lucky

  • 1Department of Dermatology, University of Cincinnati Medical Center, OH.

Journal of the American Academy of Dermatology
|November 1, 1992
PubMed
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Perioral dermatitis, a skin condition, is more common in children than previously thought and often linked to topical corticosteroid use. Early diagnosis and treatment lead to rapid recovery in pediatric cases.

Area of Science:

  • Pediatric Dermatology
  • Dermatology Research

Background:

  • Perioral dermatitis is a recognized condition primarily described in young women.
  • Limited data exists regarding the presentation and characteristics of perioral dermatitis in pediatric populations.

Observation:

  • A study assessed 14 children diagnosed with perioral dermatitis over 16 months.
  • Clinical features, treatment responses, and potential causes were evaluated.

Findings:

  • Childhood perioral dermatitis presents with features similar to adults but frequently includes periocular and perinasal lesions.
  • Boys showed a higher relative incidence, and topical corticosteroid use was implicated in 50% of cases.
  • All pediatric patients demonstrated a rapid positive response to treatment.

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Implications:

  • Perioral dermatitis in children may be more prevalent than previously understood.
  • Iatrogenic causes, particularly topical corticosteroid misuse, are significant factors in pediatric cases.
  • Understanding these distinct features aids in accurate diagnosis and management of perioral dermatitis in children.