By Gary M. White, MD
Perioral Dermatitis. A perioral rash often with confluent erythema of the nasolabial fold. The rash may itch and burn. The typical patient is a young woman. She may be on a potent topical steroid.
Granulomatous Periorificial Dermatitis
Necrolytic Migratory Erythema
Zinc Deficiency, Acquired
Maple Syrup Urine Disease
Lip Licking. Typically occurs in a child.
Perioral Dermatitis (see above).
Lip Licking (see above).
Biotin-Responsive Multiple Carboxylase Deficiency
Allergic Contact Dermatitis to methylisothiazolinone in a child/infant. Wet wipes have recently been shown to have the potential for causing an allergic contact dermatitis thru the preservative methylisothiazolinone. This allergy may cause either a perioral eruption, diaper rash or hand dermatitis [Australas. J Dermatol 2013;May 29].
Congenital Syphilis. Infiltration about the mouth occurs in congenital syphilis which may leave radiating scars and fissures, called rhagades, upon healing.
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