Perioral dermatitis with epithelioid cell granulomas in a woman: a possible new etiology

Perioral dermatitis, a distinctive clinical entity yet of obscure etiology, is not uncommonly seen among Saudi middle-aged females. A case of a 30-year-old woman with a perioral lupoid micropapular erythematous eruption is described. Histopathological examination showed evidence of granulomatous sarcoidal reaction similar to that described by Gianotti et al. (3), Gianotti (2), and Georgouras & Kocsard (1). Synthetic acrylic fibre meshes widely used by Arabian women to cover their faces, are considered in the etiology of this eruption.