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[Perioral dermatitis in children under steroid inhalation therapy]
E Held1, V Ottevanger, C S Petersen
1H:S, Bispebjerg Hospital, dermato-venerologisk afdeling D.
Ugeskrift for Laeger
|January 7, 1998
Summary
Topical corticosteroids can cause perioral dermatitis. Inhaled corticosteroids, like budesonide, used for childhood asthma may also trigger this skin condition, requiring careful diagnosis and treatment.
Area of Science:
- Dermatology
- Pediatric Pulmonology
Background:
- Topical corticosteroids are established causes of perioral dermatitis.
- Inhaled corticosteroids (ICS) are now a primary treatment for pediatric asthma.
Observation:
- Two pediatric cases of perioral dermatitis are presented.
- These cases developed during asthma treatment with budesonide.
- Budesonide was administered via nebulizer or a spacer with a mask.
Findings:
- Inhaled budesonide can provoke perioral dermatitis in children.
- The presentation of this corticosteroid-induced eruption is characteristic.
- Distinguishing it from atopic eczema is crucial.
Implications:
- Clinicians should consider perioral dermatitis in children using inhaled corticosteroids for asthma.
- Alternative treatments like oral erythromycin or topical metronidazole may be necessary for severe cases.
- Awareness of this side effect is important for effective asthma management and dermatological health.