Translate this page into:
How to cite this article: Kapil K, Singh V. Periorifical dermatitis. CosmoDerma 2023;3:26.
An 18-year-old healthy female presented with multiple grouped tiny red raised skin lesions on her face around mouth and nares for 1 month, associated with mild itching. She had a history of application of topical betamethasone valerate (0.1% w/w) cream twice daily for skin brightening, taken over the counter over her face for the past 1 year. Cutaneous examination revealed multiple, discrete, grouped erythematous papulopustular, and papulovesicular lesions, with loose fine whitish scaling and surrounding erythema on her face in perioral and perinasal distribution, with characteristic sparing of skin adjoining the vermillion border of lips [Figure 1]. Dermoscopy revealed reddish background erythema, prominent follicular openings, and superficial white and yellow scales [Figure 2]. Gram stain and potassium hydroxide mount were negative. She was diagnosed with periorificial facial dermatitis, probably initiated and exacerbated by betamethasone application. She was advised to discontinue steroid application, substituted with topical pimecrolimus 1% cream, and was prescribed oral tetracycline for 8 weeks in a tapering course, along with topical metronidazole 0.75% gel. Her skin eruption resolved with no recurrence as of yet.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent.
Conflicts of interest
There are no conflicts of interest.
Financial support and sponsorship