Abstract
We report a case of periorificial dermatitis caused by suboptimal inhalation of budesonide for asthma. The initial skin lesions presented in the eye surroundings, leading to diagnostic difficulties and treatment of presumed chalazion and staphylococcal folliculitis. After several months, the patient developed perioral papules and pustules and was diagnosed with periorificial dermatitis. He was efficiently treated with topical metronidazole and oral erythromycin.
© 2011 Wiley Periodicals, Inc.
MeSH terms
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Anti-Asthmatic Agents / administration & dosage
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Anti-Asthmatic Agents / adverse effects*
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Anti-Infective Agents / therapeutic use
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Asthma / diagnosis
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Asthma / drug therapy
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Blepharitis / diagnosis*
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Blepharitis / etiology
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Budesonide / adverse effects*
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Budesonide / therapeutic use
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Chalazion / diagnosis*
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Chalazion / etiology
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Drug Eruptions / diagnosis*
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Drug Eruptions / drug therapy
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Drug Eruptions / etiology*
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Erythromycin / therapeutic use
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Humans
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Infant
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Male
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Masks
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Metronidazole / therapeutic use
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Treatment Outcome
Substances
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Anti-Asthmatic Agents
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Anti-Infective Agents
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Metronidazole
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Budesonide
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Erythromycin