Management of perioral dermatitis: a case report
Main Article Content
Keywords
Perioral dermatitis, dermatitis, drug therapy, steroids
Abstract
Perioral dermatitis is a chronic inflammatory dermatosis characterized by multiple papules and pustules in a periorificial distribution, predominantly around the mouth. It mainly affects women aged 15 to 45 years. It may be related to the use of topical steroids, although other factors have also been implicated in its pathogenesis. We describe the case of a long-standing facial dermatitis in a young 38-year-old woman with poor response to isotretinoin, as well as to the indiscriminate and self-medicated use of combined creams and topical steroids; she was managed with azelaic acid, topical metronidazole and oral minocycline, obtaining a significant improvement of her condition. Perioral dermatitis represents a diagnostic challenge for the treating physician, in general, it has a good prognosis, but early identification and timely management is the key in the evolution of this disease.
References
2. Clementson B, Smidt AC. Periorificial dermatitis due to systemic corticosteroids in children: report of two cases. Pediatr Dermatol. 2012; 29(3):331-332.
3. Chiriac A, Diaconeasa A, Podoleanu C, Stolnicu S. Childhood Perioral Dermatitis — Challenging Treatment. Journal of Interdisciplinary Medicine. 2018;3(1):50-53.
4. Mokos ZB, Kummer A, Mosler EL, Čeović R, Basta-Juzbašić A. Perioral dermatitis: still a therapeutic challenge. Acta Clin Croat. 2015;54(2):179-185.
5. González-González M, Domínguez-Ugalde M, Pérez-Luna M. Dermatitis perioral granulomatosa. Dermatol Rev Mex. 2019;63(6):592-595.
6. Gomar B. Dermatitis periorificial: Presentación de un caso. Pediátr Panamá. 2018;47(3):21-23.
7. Tejada, D., Martínez, E., Ulban, M., & Arenas, R.V. Dermatitis perioral en la infancia: presentación de dos casos e importancia de la correlación clínico patológica. Dermatol PERU. 2012;22(3):169-175.
8. Balić A, Vlašić D, Mokos M, Marinović B. The Role of the Skin Barrier in Periorificial Dermatitis. Acta Dermatovenerol Croat. 2019;27(3):169-179.
9. Schreiber, S. A novel regimen for perioral dermatitis by photodynamic therapy. JPP. 2016; 4(10):559-563.
10. Tempark T, Shwayder TA. Perioral dermatitis: a review of the condition with special attention to treatment options. Am J Clin Dermatol. 2014; 15(2):101-113.
11. Rademaker M. Perioral dermatitis. En: Hoeger P, Kinsler V, Yan A, Harper J, Oranje A, Bodemer C, et al., editores. Harper’s Textbook of Pediatric Dermatology: 4.a ed. Wiley; 2019.338-342.
12. Tolaymat L, Hall MR. Perioral dermatitis. En: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022.
13. Kellen R, Silverberg NB. Pediatric periorificial dermatitis. Cutis. 2017; 100(6):385-388.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
RHCS uses the Creative Commons License 4.0 International (CC BY 4.0). For more information, please visit
Katia Aguilar-Gutiérrez, Facultad de Ciencias Médicas, Universidad Nacional Autónoma de Honduras. Tegucigalpa, Honduras.
Médico Especialista en Dermatología.