PERIORAL DERMATITIS IN CHILDHOOD

Background: Although perioral dermatitis has been well described in young women, little has been reported about this condition in children. Objective: The purpose of this study was to define more clearly the features of perioral dermatitis in childhood. Methods: Fourteen children with perioral dermatitis were assessed for clinical features, therapeutic response, and possible etiologic factors. Results. Fourteen cases of perioral dermatitis were seen in 16 months, far exceeding the expected prevalence in childhood. Although the childhood variant shares many characteristics with the adult form, children often have periocular and perinasal lesions, as well as a higher relative incidence in boys. Mid- to high-potency topical corticosteroids were used in seven of the patients (50%) and likely contributed to the pathogenesis. All children responded rapidly to treatment. Conclusion: Perioral dermatitis in childhood, often iatrogenic, is more common than previously reported.