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Periorificial Dermatitis, Rosacea, and Idiopathic Aseptic Facial Granuloma in Children

Abigail Washington1, Carol Sanchez1, Andrea L Zaenglein2

  • 1Department of Dermatology, Penn State/ Hershey Medical Center, Hershey, PA, USA.

Pediatric Clinics of North America
|June 25, 2026
PubMed

Insights

Pediatric providers can encounter acneiform disorders like periorificial dermatitis, rosacea, and idiopathic aseptic facial granuloma. This review covers their clinical features, pathogenesis, and management strategies.

Area of Science:

  • Pediatric Dermatology
  • Dermatology
  • Acneiform Disorders

Background:

  • Periorificial dermatitis, rosacea, and idiopathic aseptic facial granuloma are common acneiform disorders in pediatric patients.
  • Accurate diagnosis is crucial for effective management.

Purpose of the Study:

  • To provide an updated overview of acneiform disorders encountered in pediatric care.
  • To detail clinical presentations, pathogenesis, and differential diagnoses.
  • To discuss current management options and treatment algorithms.

Main Methods:

  • Literature review of clinical presentations, pathogenesis, and management of periorificial dermatitis, rosacea, and idiopathic aseptic facial granuloma.
  • Synthesis of information for pediatric providers.

Main Results:

  • Detailed descriptions of the clinical appearances of each disorder.
  • Insights into the known etiological factors and pathogenesis.
  • Comprehensive overview of therapeutic approaches.

Conclusions:

  • Understanding the nuances of these acneiform conditions is essential for pediatricians.
  • Appropriate diagnosis and timely management can improve patient outcomes.
  • This review serves as a guide for managing these facial dermatoses in children.

Keywords:
AcneiformIdiopathic aseptic facial granulomaPediatricPerioral dermatitisPeriorificial dermatitisRosaceaTreatment

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