DermHelpCentral

Pediatric Perioral Dermatitis

Periorificial dermatitis (POD) has been documented in the pediatric population in patients as young as 3 months, with a slight predominance in girls compared to boys. Many patients have a personal or family history of atopic disorders. Periorificial dermatitis typically presents with erythematous to flesh-colored papules and rarely pustules near the eyes, nose, and mouth. Although the etiology is unknown, many patients have had recent exposure to a topical or less commonly an inhaled or systemic corticosteroid. Although steroids may initially control the skin lesions, disease often rebounds after discontinuing therapy. Diagnosis of POD is clinical. Laboratory tests are not helpful in making the diagnosis, and the histology of POD resembles rosacea. It is important to rule out other acneform diagnoses based on the age of the patient, clinical history, and presentation of the lesions. Topical metronidazole has been successful in the pediatric population. For pediatric patients with extrafacial skin lesions or more severe disease, oral antibiotics such as tetracycline, doxycycline, minocycline, azithromycin, and erythromycin can be used, depending on the age of the patient. 

 

Download Pediatric Perioral Dermatitis

Granulomatous Rosacea

This is a helpful reference:

Lee GL, Zirwas MJ.
Granulomatous Rosacea and Periorificial Dermatitis: Controversies and Review of Management and Treatment. Dermatol Clin. 2015 Jul;33(3):447-55.
Abstract: Granulomatous rosacea and periorificial dermatitis are common skin conditions affecting the face. This article examines the historical origin, causes, clinical presentation, and management strategies for these entities.

Link to Full Text: Download Granulomatous Rosacea Review

Perioral Dermatitis

This is one person's perioral dermatitis story.  It may be of help to some DHC readers.

I have been suffering from Perioral Dermatitis for the last 20+ years. Yeast definitely contributes to my flareups, so wine and bread don’t help. So Sorry….

But I have found some tricks to keep the rash at bay, and I would like to share these.

I have eliminated all Sodium Lauryl Sulfate products from my regime. I use a shampoo and conditioner without this, as well as a facial wash made by a company called CALIFORNIA BABY. It’s called, Calming Shampoo and Body wash with calendula. I wash my face 2x daily, then I use a thin layer of Neutrogena on-the-spot around the mouth and then apply California Baby Calendula Cream.

 

 

Et Voila. Rash Free for years…

(The standard treatment for P.O.D. is usually doxycycline or minocycline by mouth.  If you prefer to try a more gentle approach first, this patient's protocol ooworth trying.)

Good Luck