At a Glance - Keratosis pilaris versus perioraldermatitis

KERATOSIS PILARIS

Discriminatory signs

- On the face, affects mainly the cheeks and eyebrows of children.
- Usually asymptomatic.
- Numerous rough follicular spots, which may be skin-coloured, red or
brown.
- Prevalent in overweight children, and in those who have a Celtic
background, atopic dermatitis or ichthyosis.

Management

- Non-soap cleansers.
- Moisturising creams containing urea, salicylic acid or alphahydroxy
acids.
- Rubbing with a pumice stone or a 'Buf-Puf' in the shower or bath.
- Topical retinoids.

PERIORAL DERMATITIS

Discriminatory signs

- Occurs in young adults, but rarely in men.
- Itchy or tender area.
- Red papules and pustules around the mouth.
- Can also occur around the nose and eyes.
- Oily skin and the use of face creams/topical steroid creams predispose
to it.

Management

- Discontinue all face and steroid creams.
- At first, wash with warm water alone.
- Later, use a non-soap bar or liquid cleanser.
- Oral antibiotics such as tetracycline or one of its derivatives for
six to 12 weeks.

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