Childhood granulomatous periorificial dermatitis
New podcast: Controversies in Mohs micrographic surgery. Tarm is a medical student and Drs. Creel is a resident and Dr. The opinions expressed are those of the authors and should not be construed as official or as representing those of the US Department of the Army or the Department of Defense. Granulomatous periorificial dermatitis GPD is a distinct facial eruption in prepubertal children that should be distinguished from granulomatous rosacea, perioral dermatitis, and cutaneous sarcoidosis. We describe a case of GPD and review the key distinguishing features of this condition.
Granulomatous Periorificial Dermatitis: A Variant of Granulomatous Rosacea in Children?
Childhood granulomatous periorificial dermatitis CGPD , is a rare benign granulomatous skin disease of unknown cause. CGPD is characterized by the presence of small, raised, dome-shaped, flesh-colored or yellow-brown papules primarily distributed around the mouth, eyes, and nose. The cause of CGPD is unknown. The approach to diagnosing CGPD is controversial. In contrast, other dermatologists advocate for performing a complete history and physical examination and obtaining laboratories and appropriate imaging to rule out cutaneous sarcoidosis. Several conditions exhibit skin findings similar to those of CGPD.
Childhood Granulomatous Periorificial Dermatitis
It is a condition of unknown etiology, characterized by monomorphous, small, papular eruptions around the mouth, nose and eyes that histopathologically show a granulomatous pattern. It affects prepubescent children of both sexes and typically persists for several months but resolved without scarring. We report a 9 year-old girl with multiple, discrete, monomorphic, papular eruptions of 2-months duration on the perioral and periocular areas. Histopathological examination demonstrated upper dermal and perifollicular granulomatous infiltrate. Childhood granulomatous periorificial dermatitis CGPD is a benign eruption of the face previously reported in prepubertal, Afro-Caribbean children.
We report a case of granulomatous periorificial dermatitis GPD. A year-old Jamaican boy presented with pink to flesh-colored perioral and periocular papules that erupted during a summer visit to Jamaica. The child was initially diagnosed with sarcoidosis and treated with oral steroids, but the eruption recurred 2 years later.
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