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.

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  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-.