title: [Treatment-resistant granulomatous rosacea-like dermatitis in a 9-year-old girl].
abstract: A 9-year-old female developed facial papules and pustules since four years. Clinically, perioral dermatitis was suspected. Different topical therapy regimens and systemic anibiotics had been unsuccessful and a skin biopsy showed granulomatous (lupoid) rosacea. Only systemic antibiotic treatment with minocyclin led to healing of the skin lesions. While granulomatous rosacea-like dermatitis is more frequently diagnosed in adults, it is only rarely encountered in children where, in most of the cases, it represents a therapeutic challenge.
authors.affiliation: Klinik für Dermatologie und Allergologie, Universitätsklinikum der RWTH Aachen.
authors.forename: P
authors.initials: P
authors.lastname: Poblete-Gutiérrez
authors.forename: T
authors.initials: T
authors.lastname: Beermann
authors.forename: E I
authors.initials: EI
authors.lastname: Grussendorf-Conen
authors.forename: J
authors.initials: J
authors.lastname: Frank
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001706:Biopsy; D002648:Child; D004351:Drug Resistance; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D008911:Minocycline / Q000627:therapeutic use*; D026023:Permethrin / Q000627:therapeutic use; D019233:Retreatment; D012393:Rosacea / Q000188:drug therapy* / Q000473:pathology; D015575:Roxithromycin / Q000627:therapeutic use; D012867:Skin / Q000473:pathology; D014212:Tretinoin / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D015575:Roxithromycin; D026023:Permethrin; D014212:Tretinoin; D008911:Minocycline