Maryam GhasemiDaneshjooye Pezeshki

Daneshgah Esfahan901111521DR Fatemi

Perioral dermatitis

DEFINITION • young women (15-25 years)

• facial skin around the mouth

• inflammatory disorder with small papules and pustules

•Relatively common

etiology no convincing explanation

Candida Fusiform bacteria

Demodex mite Cosmetics

Fluoride-containing toothpaste potent topical corticosteroids, particularly

fluorinated topical corticosteroids

Clinical featuresfirst appears around the external nares

and the superior end of the nasolabial folds or around the lip commissures

spreads around the mouth

leaving a clear and uninvolved zone immediately adjacent to the lips

If severe and/or long-standing (side of nose & glabella)

Clinical featuresPeriocular perioral dermatitis ( if

predominantly around the eyes )

Type of lesions:typically small papules (or micropapules), sometimes pustules

No persistent erythema or telangiectasia

little in the way of symptoms apart from some mild soreness

DDxrosacea :1-facial convexities

2-persistant erythema 3-telangiectasia

Seborrheic dermatitis:1-scaling 2-scalp dandruf

3-other area of bodyAcne:1-location

2-comedons 3-seborrhea

4-upper trunk

DDxlip-licking cheilitis :1-(7-15 years old)

2-repeated licking of the Skin around the mouth

3-scaling

treatmentAll topical steroids should be stopped

Oral Tetracycline & its family

Oral erythromycin

Topical antibiotics (metronidazole, erythromycine,tetracycline)