A 29-year-old woman visited Primary Care for evaluation of a perioral papular rash that appeared intermittently. Her rash was classified as perioral dermatitis, an inflammatory eruption that typically affects young women. Local topical corticosteroid use is the most frequently identified trigger for perioral dermatitis, although a number of irritants have been implicated. Treatment centers on avoiding any known triggers and relieving the rash. For the latter aspect of treatment, oral tetracycline and adjunctive treatment with topical metronidazole cream is recommended.
KeywordsPerioral dermatitis Contact dermatitis Papular rash Perinasal Periocular Periorificial Topical steroid Oral antibiotic Metronidazole
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