Perioral dermatitis
See also in: External and Internal EyeAlerts and Notices
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Synopsis

This summary discusses perioral dermatitis in adults. Perioral dermatitis of childhood is addressed separately.
Perioral dermatitis is a localized inflammatory disorder of uncertain etiology. It manifests as an erythematous papular and pustular eruption involving the nasolabial folds, the upper and lower cutaneous lip, and the chin. The lip margin and the immediate circumoral area are typically spared. Periorbital involvement, predominantly the lower and lateral eyelids, may occur. The term "periorificial dermatitis" is then applied. Fine scaling may be seen. The eruption may be asymptomatic, but burning or itch may be encountered. The granulomatous variant comprises more substantive papules in a similar distribution.
Perioral dermatitis is seen almost exclusively in women aged between 18 and 40. A number of factors have been implicated in causing this condition, such as topical fluorinated glucocorticoids (including inhalers), fluorinated toothpastes, and oral contraceptives.
Perioral dermatitis is a localized inflammatory disorder of uncertain etiology. It manifests as an erythematous papular and pustular eruption involving the nasolabial folds, the upper and lower cutaneous lip, and the chin. The lip margin and the immediate circumoral area are typically spared. Periorbital involvement, predominantly the lower and lateral eyelids, may occur. The term "periorificial dermatitis" is then applied. Fine scaling may be seen. The eruption may be asymptomatic, but burning or itch may be encountered. The granulomatous variant comprises more substantive papules in a similar distribution.
Perioral dermatitis is seen almost exclusively in women aged between 18 and 40. A number of factors have been implicated in causing this condition, such as topical fluorinated glucocorticoids (including inhalers), fluorinated toothpastes, and oral contraceptives.
Codes
ICD10CM:
L71.0 – Perioral dermatitis
SNOMEDCT:
238751002 – Perioral dermatitis
L71.0 – Perioral dermatitis
SNOMEDCT:
238751002 – Perioral dermatitis
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Diagnostic Pearls
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Differential Diagnosis & Pitfalls
- Differentiate from rosacea by the perioral distribution.
- Acne vulgaris
- Seborrheic dermatitis – scale and erythema predominate; papules and pustules are not a feature.
- Atopic dermatitis
- Contact dermatitis
- Sarcoidosis
- Lupus miliaris disseminatus faciei
- Gram-negative folliculitis (see folliculitis)
- Demodex folliculitis
Best Tests
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Management Pearls
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Therapy
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Drug Reaction Data
Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.
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References
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Last Updated:07/18/2017

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Perioral dermatitis
See also in: External and Internal Eye