Perioral Dermatitis

Last Updated: 2020-11-19

Author(s): Anzengruber F., Navarini A.

ICD11: ED90.1

Frumess and Lewis 1957.

Dermatitis perioralis, rosacea-like dermatitis, stewardess disease, steroid rosacea, periorificial dermatitis.

Frequent, itchy to painful skin changes in the face.

  • Incidence: approx. 1%/ year
  • Peak age: 20-40 years.
  • Women >> Men

  • Unknown
  • Probably a ↑↑ use of skin care products
  • Use of topical glucocorticoids, too high a class of active ingredients or too long
  • UV light (is not a trigger, but can lead to deterioration)

Perioral, but also often periorbital erythematous, often grouped, pruriginous to burning, confluent, often slightly scaling papules, papulovesicles and papulopustules.

  1. Frieden IJ. Granulomatous Perioral Dermatitis in Children. Arch Dermatol 1989;125:369.
  2. Hafeez ZH. Perioral dermatitis: an update. International Journal of Dermatology 2003;42:514-7.
  3. Takiwaki H, Tsuda H, Arase S, Takeichi H. Differences between intrafollicular microorganism profiles in perioral and seborrhoeic dermatitis. Clin Exp Dermatol 2003;28:531-4.
  4. Dirschka T, Tronnier H, Folster-Holst R. Epithelial barrier function and atopic diathesis in rosacea and perioral dermatitis. Br J Dermatol 2004;150:1136-41.
  5. Wilkinson DS, Kirton V, Wilkinson JD. Perioral dermatitis: a 12-year review. British Journal of Dermatology 2006;101:245-57.
  6. Weston WL, Morelli JG. IDENTICAL TWINS WITH PERIORAL DERMATITIS. Pediatric Dermatology 2009;15:144-.
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