title: Granulomatous perioral dermatitis in children.
abstract: Five children, aged 3 to 11 years, developed a distinctive perioral, perinasal, and periorbital rash, consisting of tiny, closely spaced, flesh-colored "micronodules." Histopathologic examination in all five cases revealed upper dermal and perifollicular granulomas admixed with lymphocytes. There were no associated systemic abnormalities. The lesions resolved after months to years, leaving no scars. We propose that this condition is a form of perioral dermatitis with granulomatous histologic features, which can be distinguished from sarcoidosis and other facial eruptions in childhood both on clinical and histologic grounds.
authors.affiliation: Department of Dermatology, University of California, San Francisco, School of Medicine.
authors.forename: I J
authors.initials: IJ
authors.lastname: Frieden
authors.forename: N S
authors.initials: NS
authors.lastname: Prose
authors.forename: V
authors.initials: V
authors.lastname: Fletcher
authors.forename: M L
authors.initials: ML
authors.lastname: Turner
mesh_terms: D000367:Age Factors; D001706:Biopsy; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005148:Facial Dermatoses / Q000188:drug therapy / Q000473:pathology*; D005260:Female; D006099:Granuloma / Q000473:pathology*; D006801:Humans; D008297:Male; D012507:Sarcoidosis / Q000175:diagnosis