Perioral Dermatitis: A Review of the Condition with Special Attention to Treatment Options

@article{Tempark2014PerioralDA,
  title={Perioral Dermatitis: A Review of the Condition with Special Attention to Treatment Options},
  author={Therdpong Tempark and Tor A Shwayder},
  journal={American Journal of Clinical Dermatology},
  year={2014},
  volume={15},
  pages={101-113}
}
Perioral dermatitis is a common acneiform facial eruption found in both adults and children. Its variants are periorificial and granulomatous periorificial dermatitis. The etiology of perioral dermatitis remains unknown; however, topical corticosteroid use on the face commonly precedes the manifestation of this condition. There are an overwhelming number of treatment options for perioral dermatitis, and the options in children are slightly different from those in adults for both systemic… Expand
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References

SHOWING 1-10 OF 87 REFERENCES
Perioral dermatitis in a patient with myasthenia gravis following systemic corticosteroid treatment
TLDR
Perioral dermatitis is a common dermatosis presenting as a persistent erythematous eruption composed of tiny papules and papulopustules distributed symmetrically around the mouth and over the chin that develops secondary to the use of topical corticosteroids or facial cosmetics. Expand
Perioral dermatitis in children.
TLDR
Perioral dermatitis in childhood is probably a juvenile form of rosacea, and treatment consists of discontinuing topical fluorinated corticosteroid use if any, and using topical metronidazole alone or in combination with either oral tetracycline or erythromycin depending on the child's age. Expand
Periorificial dermatitis in children and adolescents.
TLDR
Perioral dermatitis appears at all ages in childhood and adolescence and may be associated with topical corticosteroid use and is more appropriately termed periorificial dermatitis. Expand
Steroid‐induced Periorificial Dermatitis in Children—Clinical Features and Response to Azelaic Acid
TLDR
Treatment with 20% azelaic acid cream could provide an effective and safe alternative therapeutic option in children with nongranulomatous periorificial dermatitis, and side effects were minimal and became rarer with ongoing treatment. Expand
Childhood granulomatous periorificial dermatitis: a controversial disease
TLDR
A “typical” case of GPD is reported, the literature underline the similarities between GPD and perioral dermatitis and a review of the literature to discuss the difficulties in its diagnosis and treatment is reviewed. Expand
Perioral dermatitis in children--clinical presentation, pathogenesis-related factors and response to topical metronidazole.
TLDR
Metronidazole proved to be effective and safe in the treatment of perioral dermatitis in children and has to be considered as differential diagnosis in children presenting with erythematous papules and papulovesicles in typical locations. Expand
Letter: Perioral dermatitis in a child associated with an inhalation steroid.
TLDR
This case is illustrative because there was a clear association of perioral dermatitis with the use of inhaled steroids and a quick response to the treatment regimen, which included discontinuation of the offending agent. Expand
Perioral dermatitis.
TLDR
Treatment may include topical metronidazole as for rosacea, azelaic acid cream, benzyl peroxide preparations, and to a lesser degree, topical erythromycin, clindamycin, or tetracycline may also be helpful in presentations that are more resistant. Expand
Perioral dermatitis in childhood.
TLDR
Perioral dermatitis in childhood, often iatrogenic, is more common than previously reported and response to treatment is rapid, and children often have periocular and perinasal lesions. Expand
Extrafacial and generalized granulomatous periorificial dermatitis.
TLDR
Extrafacial lesions can occur in granulomatous periorificial dermatitis and do not appear to adversely affect the duration, response to therapy, or risk of extracutaneous manifestations. Expand
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