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In the last few months I have had 8 new patients contact me regarding perioral dermatitis.All but one of them were women who worked in healthcare (nurses, acupuncturists, and optometrists).: When perioral dermatitis affects the chin and the skin next to the nose, it often looks like acne at first appearance.But you can tell that it is not acne by noticing there are no comedones (blackheads or whiteheads).Eruptions typically begin around the mouth (perioral region) in the nasolabial folds (smile lines) and can spread to the sides of the nose (perinasal region), the chin, the cheeks, or even the lateral aspect of the lower eyelid (periorbital region).Sometimes the rash only appears at the eyelids (despite the name “perioral” dermatitis).
Most of the time the rash will be symmetrical – appearing on both sides of the face.
: It can be challenging to differentiate perioral dermatitis from eczema/AD at first glance.
Eczema will often appear elsewhere on the face or the body and not be confined to the region around the mouth or eyes.
I am so curious to discover the correlation here (if one exists).
In most cases, perioral dermatitis responds quite well to treatment, though there are times where is recurs or becomes stubborn (like in the health care workers mentioned above).