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Critical appraisal of reports on the treatment of perioral dermatitis
1Krankenhaus der Missionsbenediktiner, Tutzing, Germany. Dr.KlausWeber@t-online.de
Background:
Presently, problems exist with the rationale of oral therapy and the nature and indication of topical and accompanying treatment of perioral dermatitis.
Objective:
Providing the basis to overcome these problems by a quality evaluation of treatment reports and assessment of the consistency of treatment experience.
Methods:
Sources were Medline (1964-2004), Embase (1966-2004), the Cochrane Central (1971-2004) and 526 references of 3 textbooks, 2 recent reviews and 30 papers on perioral dermatitis. Thirty English and German articles were selected. These studies were evaluated according to principles of evidence-based medicine and related criteria. Evaluation of 28 papers was carried out by the authors and of our own 2 papers by 2 other reviewers. Consistency of results was qualitatively assessed by the authors.
Results:
There were only 2 therapeutic trials of medium-range quality. The other studies were of low quality. Consistency was noted concerning treatment with oral tetracycline (with 1 exception), discontinuation of topical corticosteroids and cosmetics and, to a lesser extent, regarding no therapy. There was inconsistency in respect to topical therapy.
Conclusion:
The presented data help to interpret and conduct studies on the treatment of perioral dermatitis.
