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DermAtlas: FACE - dermatitis, perioral
© 2001-2009, DermAtlas
Image Name: periorificial_dermatitis_2_081206   File Type: jpg
Diagnosis: DERMATITIS, PERIORAL   Category: acneiform
Body Site: face   Age: 10 years
Contributor: Bernard Cohen, MD    
Description: symmetric periorificial red papules with discrete and confluent overlying scale
Comments: This healthy 10-year-old boy had a minimimally itchy periorificial eruption for 6 months. He became irritated with topical antibiotics and benzoly peroxide which resulted in patchy confluent scale around his mouth. He was treated with oral erythromycin.
Related Images: periorificial_dermatitis_3_081206 

DermAtlas: FACE - dermatitis, perioral
© 2001-2009, DermAtlas
Image Name: periorificial_dermatitis_3_081206   File Type: jpg
Diagnosis: DERMATITIS, PERIORAL   Category: acneiform
Body Site: face   Age: 10 years
Contributor: Bernard Cohen, MD    
Description: symmetric periorificial red papules with discrete and confluent overlying scale
Comments: This healthy 10-year-old boy had a minimimally itchy periorificial eruption for 6 months. He became irritated with topical antibiotics and benzoly peroxide which resulted in patchy confluent scale around his mouth. He was treated with oral erythromycin.
Related Images: periorificial_dermatitis_2_081206 

DermAtlas: FACE - dermatitis, perioral
© 2001-2009, DermAtlas
Image Name: perioral_dermatitis_1_080803   File Type: jpg
Diagnosis: DERMATITIS, PERIORAL   Category: papulosquamous eruptions
Body Site: face / mouth
nose / eye lid
  Age: 9 years
Contributor: Bernard Cohen, MD    
Description: symmetric periorificial red papules and pustules some with scale and crusting
Comments: This healthy 9-year-old girl developed an asymptomatic red papular and pustular eruption around the mouth 3 months ago which spread to her nose and eye lids.

DermAtlas: FACE - dermatitis, perioral
© 2001-2009, DermAtlas
Image Name: Perioral_Dermatitis_1_080326   File Type: jpg
Diagnosis: DERMATITIS, PERIORAL   Category: acneiform
Body Site: face / nose
chin
  Age: 56 years
Contributor: Nicole Sorensen, RN    
Description: symmetric red papules and pustules
Comments: This healthy 56-year-old woman complained of recurrent outbreaks of red papules and pustules around her mouth and nose.

DermAtlas: FACE - dermatitis, perioral
© 2001-2009, DermAtlas
Image Name: perioral_dermatitis_1_070623   File Type: jpg
Diagnosis: DERMATITIS, PERIORAL   Category: papulosquamous eruptions
Body Site: face / eye lid
lip / nose
chin
  Age: 9 years
Contributor: Bernard Cohen, MD    
Description: symmetric red papular eruption with overlying silvery scale
Comments: This healthy 9-year-old girl complained of a chronic red scaly papular eruption which started around her mouth and spread to her nose and eye lids. She was minimally itchy. The eruption cleared after 3 months or oral erythromycin.

DermAtlas: LIP - dermatitis, perioral
© 2001-2009, DermAtlas
Image Name: Perioral_Dermatitis_2_070311   File Type: jpg
Diagnosis: DERMATITIS, PERIORAL   Category: acneiform /
treatment complication /
treatment
Body Site: lip / face
chin / nose
  Age: 31 years
Contributor: Karl Kass    
Description: improving papulopustular eruption 12 days after discontinuation of topical steroids
Comments: This healthy 31-year-old woman with perioral dermatitis was initially treated with topical steroids. She experienced improvement but flared as soon as the steroid was discontinued. Although she flared again when the topical steroid was discontinued and topical sodium sulfacetamide lotion was started, 2 months later she demonstrated a sustained remission.
Related Images: All related Images  Perioral_Dermatitis_3_070311  Perioral_Dermatitis_1_070311 

DermAtlas: LIP - dermatitis, perioral
© 2001-2009, DermAtlas
Image Name: Perioral_Dermatitis_1_070311   File Type: jpg
Diagnosis: DERMATITIS, PERIORAL   Category: acneiform /
treatment complication /
treatment
Body Site: lip / face
chin
  Age: 31 years
Contributor: Karl Kass    
Description: symmetric discrete and confluent perioral red papules and pustules 3 days after discontinuation of topical steroids
Comments: This healthy 31-year-old woman with perioral dermatitis was initially treated with topical steroids. She experienced improvement but flared as soon as the steroid was discontinued. Although she flared again when the topical steroid was discontinued and topical sodium sulfacetamide lotion was started, 2 months later she demonstrated a sustained remission.
Related Images: All related Images  Perioral_Dermatitis_3_070311  Perioral_Dermatitis_2_070311 

DermAtlas: LIP - dermatitis, perioral
© 2001-2009, DermAtlas
Image Name: Perioral_Dermatitis_3_070311   File Type: jpg
Diagnosis: DERMATITIS, PERIORAL   Category: acneiform /
treatment complication /
treatment
Body Site: lip / face
chin / nose
  Age: 31 years
Contributor: Karl Kass    
Description: improving erythema 60 days after discontinuation of topical steroid and initiation of topical antibiotic
Comments: This healthy 31-year-old woman with perioral dermatitis was initially treated with topical steroids. She experienced improvement but flared as soon as the steroid was discontinued. Although she flared again when the topical steroid was discontinued and topical sodium sulfacetamide lotion was started, 2 months later she demonstrated a sustained remission.
Related Images: All related Images  Perioral_Dermatitis_1_070311  Perioral_Dermatitis_2_070311 

DermAtlas: MOUTH - dermatitis, perioral
© 2001-2009, DermAtlas
Image Name: perioral_dermatitis_1_051205   File Type: jpg
Diagnosis: DERMATITIS, PERIORAL   Category: papulosquamous eruptions
Body Site: mouth / face   Age: 15 years
Contributor: Delia Lasch, MA    
Description: symmetric red papules with minimal scale
Comments: This healthy adolescent developed a red papular eruption around the mouth 2 weeks ago. He complained of minimal itching and burning associated with some peeling. Note the sparing of the vermillion border and immediately surrounding skin.

DermAtlas: FACE - acne rosacea
© 2001-2009, DermAtlas
Image Name: rosacea_1_041012   File Type: jpg
Diagnosis: ACNE ROSACEA /
DERMATITIS, PERIORAL /
DRUG REACTION, ACNEIFORM
  Category: granulomatous disorder /
acneiform /
treatment complication
Body Site: face / cheek   Age: 48 years
Contributor: Bernard Cohen, MD    
Description: diffuse papules, pustules, and closed comedones
Comments: A healthy 48-year-old woman developed a facial eruption 7 weeks ago which was treated with a low potency topical steroid without improvement. She had a good response to a mid potency topical steroid, but the eruption rebounded when the medication was discontinued. Over the last 2 weeks she had improved with oral doxycycline. A skin punch biopsy showed sarcoidal granulomas typical of granulomatous rosacea or perioral dermatitis.
Related Images: rosacea_2_041012 

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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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