This protocol addresses folliculitis presenting in the context of perioral dermatitis involving the perioral region and lower eyelids — a distinct clinical scenario that calls for a specific management approach.
The condition is characterised by perioral dermatitis confined to the perioral region and lower eyelids. It is considered a localised form of rosacea, sharing the same clinical lesions but restricted to this anatomical distribution.
Management begins with addressing any prior topical corticosteroid use. A topical antimicrobial agent forms the foundation of treatment, with the option to combine it with a systemic antibiotic when indicated.
The condition is probably a localized form of rosacea with the same clinical lesions but restricted to the perioral region and lower eyelids.
Treatment of perioral dermatitis consists of discontinuing topical fluorinated corticosteroid use, if any, and using topical metronidazole alone or in combination with either oral tetracycline or erythromycin (table III).
DOI: 10.2165/00128071-200405050-00003
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