Periorificial dermatitis is a condition typically seen in women aged 20-45 years old. Topical corticosteroids, and to a lesser extent, inhaled corticosteroids are often implicated in the development of the condition.

Features

• clustered erythematous papules, papulovesicles and papulopustules
• most commonly in the perioral region but also the perinasal and periocular region
  • skin immediately adjacent to the vermilion border of the lip is typically spared

Management

• steroids may worsen symptoms
• should be treated with topical or oral antibiotics