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Perioral Dermatitis

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • A common facial eruption of women and children

  • Presents as tiny, flesh-colored, or erythematous monomorphic papules or pustules around the mouth with characteristic sparing of the are...

DIAGNOSIS

HISTORY

  • Patient reports a history of facial rash, which may improve with use of topical corticosteroids and flare with discontinuation.

  • Affected skin may be pruritic or have a burning sensatio...

TREATMENT

GENERAL MEASURES

“Zero therapy” can be an effective treatment in adherent patients (3)[B]: 
  • Reduce use of facial soaps, makeup, and moisturizers, and wash with only water or a mild facial clea...

ONGOING CARE

DIET

No restrictions 

PATIENT EDUCATION

  • Lesions may take many weeks to resolve.

  • Symptoms may temporarily worsen, especially with discontinuance of steroids.

  • Recurrence is rare.

  • Topical corticos...

REFERENCES

1
Lipozencic J, Ljubojevic S. Perioral dermatitis. Clin Dermatol.  2011;29(2):157–161. [View Abstract on OvidMedline]
2
Goel NS, Burkhart CN, Morrell DS. Pediatric periorificial dermatiti...

ADDITIONAL READING

  • Hafeez ZH. Perioral dermatitis: an update. Int J Dermatol.  2003;42(7):514–517.

  • Kim YJ, Shin JW, Lee JS, et al. Childhood granulomatous periorificial dermatitis. Ann Dermatol. ...

CODES

ICD10

L71.0 Perioral dermatitis 

ICD9

695.3 Rosacea 

SNOMED

  • 238751002 Perioral dermatitis (disorder)

  • 403655004 Perioral dermatitis due to corticosteroid (disorder)

  • 238583005 Saliva-induced contact derm...

CLINICAL PEARLS

  • Suspect POD when an acneiform eruption involves the perioral, perinasal, or periocular areas with characteristic sparing of the skin immediately adjacent to the vermilion border.

  • Ask pa...

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