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.
Perioral Dermatitis

Granulomatous Periorificial Dermatitis
Granulomatous Periorificial Dermatitis


Acrodermatitis Enteropathica

Necrolytic Migratory Erythema

Zinc Deficiency, Acquired

Maple Syrup Urine Disease


Olmsted Syndrome

Red, Scaly

Lip Licking. Typically occurs in a child.
Lip Licking

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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