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Periorificial dermatitis in children and adolescents
Victoria Nguyen1, Lawrence F Eichenfield
1University of California, San Diego School of Medicine, San Diego, California, USA.
Journal of the American Academy of Dermatology
|October 21, 2006
Summary
Perioral dermatitis in children, often linked to steroid use, presents with facial rashes. Topical metronidazole effectively treated this condition, now termed periorificial dermatitis.
Area of Science:
- Pediatric Dermatology
- Dermatology
- Clinical Research
Background:
- Limited research exists on pediatric perioral/periorificial dermatitis history, morphology, and disease course.
- This condition affects children and adolescents, necessitating further investigation.
Purpose of the Study:
- To investigate the clinical characteristics of perioral/periorificial dermatitis in pediatric patients.
- To evaluate treatment outcomes for this condition in children and adolescents.
Main Methods:
- Retrospective chart review of 79 pediatric patients.
- Telephone follow-up was utilized for data collection.
Main Results:
- The study included patients aged 6 months to 18 years.
- A significant history of topical, inhaled, or systemic steroid exposure was noted in 72% of patients.
- Perioral involvement was observed in 70%, perinasal in 43%, and periocular in 25% of cases. Treatment with topical metronidazole showed positive results, leading to rash clearing.
Conclusions:
- Perioral dermatitis occurs across childhood and adolescence, potentially linked to topical corticosteroid use.
- Topical metronidazole may be an effective treatment for pediatric periorificial dermatitis.
- The condition is more accurately described as periorificial dermatitis.
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