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Published on: May 28, 2013
Physical sunscreens with high sun protection factor may cause perioral dermatitis in children
Dietrich Abeck1, Birgitt Geisenfelder, Oliver Brandt
1Office for Dermatology, Venereology and Allergy, Munich, Germany. professorabeck@mytum.de
Insights
Perioral dermatitis can be a chronic condition in children. Sunscreens containing micropigments may trigger this condition in children with dry skin, warranting a history of sunscreen use in diagnosis.
Area of Science:
- Dermatology
- Pediatrics
Background:
- Perioral dermatitis is a common pediatric skin condition.
- It can become chronic if left untreated.
- Known triggers in adults, like corticosteroids, are also relevant in children.
Purpose of the Study:
- To investigate a potential link between sunscreen use and perioral dermatitis in children.
- To identify risk factors for perioral dermatitis in pediatric patients.
Main Methods:
- Case series presentation of eight children with perioral dermatitis.
- Detailed patient history including environmental and product exposures.
- Focus on children with pre-existing dry skin.
Main Results:
- All eight children developed perioral dermatitis after using micropigment-based sunscreens.
- Children in the study all had dry skin.
- This suggests a correlation between sunscreen use, dry skin, and perioral dermatitis.
Conclusions:
- Children with dry skin may be at higher risk for developing perioral dermatitis.
- Sunscreen use, particularly formulations with micropigments, should be considered as a potential trigger.
- Clinicians should inquire about sunscreen use in children presenting with perioral dermatitis.
Abstract:
Perioral dermatitis is common in children and, if untreated, characterized by a chronic course lasting for months. Provocation factors known for adults, especially topical or inhaled corticosteroids, are relevant in children as well. We present eight children - all of them with dry skin - who developed perioral dermatitis after using sunscreens based on micropigments. This suggests that children with dry skin are at increased risk for perioral dermatitis. A history of sunscreen use should be specifically sought in children with perioral dermatitis.
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