Pediatric Periorificial Dermatitis: Clinical Course and Treatment Outcomes in 222 Patients

Abstract

This study discusses the clinical diagnosis and management of POD in pediatric cases.

Papulopustular Facial Eruption in a Child: A Quiz

“…The pathogenesis of periorificial dermatitis is unclear, but moisturizers, fluorinated toothpaste, and both topical and inhaled corticosteroids may exacerbate the condition (1)(2)(3). It is a clinical diagnosis and treatment with topical metronidazole or pimecrolimus can be used.…”

“…It is a clinical diagnosis and treatment with topical metronidazole or pimecrolimus can be used. Non-responders are treated with oral erythromycin or other macrolides or tetracyclines (if over 8-12 years old) (2)(3)(4). This diagnosis is uncommon in children.…”

Involvement of the vermillion border in a severe case of periorificial dermatitis

“…This acneiform eruption is more often seen in adults but is not uncommon in young children, with a mean age of presentation of 6.6 years 1. The incidence is unknown.…”

“…The diagnosis is made clinically based on the presence of erythematous to flesh-coloured papules and sometimes pustules around the mouth, nose and eyes. In general, the vermillion border of the lips is spared,1–3 but it may become involved in severe cases (figure 1). 4 Comedones are also absent 1 3.…”

“…In general, the vermillion border of the lips is spared,1–3 but it may become involved in severe cases (figure 1). 4 Comedones are also absent 1 3. The rash is often misdiagnosed as impetigo, acne vulgaris, contact dermatitis, atopic dermatitis, seborrheic dermatitis, dermatophyte infection or angiofibromas 3.…”