The typical patient is a young adult woman who develops an itching and burning rash about the mouth. It often extends with confluent erythema along the mesolabial fold.
The typical patient is a young adult woman who develops an itching and burning rash about the mouth. It often extends with confluent erythema along the mesolabial fold.
Perioral dermatitis (PD) is a common red, papular condition about the nose and mouth of young women. A common precipitating factor is a topical steroid. The steroid may have been started because of a mild facial eczema or lip cheilitis (either of which may have resolved) or it may have been given for the perioral dermatitis. Whatever the reason, the steroid is one reason the perioral dermatitis persists. It helps the rash some but never clears it and once the patient stops, the rash flares. One should inquire about the use of steroid-containing nasal sprays as beclomethasone dipropionate nasal spray for allergic rhinitis has been associated.
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