Perioral Dermatitis

Question 1

Clinical Feature

Answer 1

discrete erythematous micropapules that often become confluent, forming inflammatory plaques on
perioral, perinasal, and periorbital skin
• commonly symmetrical, rim of sparing around vermillion border of lips

Question 2

Epidemiology

Answer 2

• 15-40 yr old, occasionally in younger children

* predominantly females

Question 3

Differential Diagnosis

Answer 3

contact dermatitis, rosacea, acne vulgaris

Question 4

Management. Avoid. Topical. Systemic. Occasional

Answer 4

• avoid all topical steroids
• topical: metronidazole 0.75% gel or 0.75-1% cream to affected area bid
• systemic: tetracycline family antibiotic (utilized for its anti-inflammatory properties)
• occasional use of a non-steroidal anti-inflammatory cream (i.e. tacrolimus or pimecrolimus)