Periorificial Dermatitis

Friday Pop Quiz 9/27/2024
A 24-year-old female patient presents with groups of itchy and tender small red papules around the eyes, nostrils, and mouth. Which of the following treatments is the first-line treatment used to treat severe cases of this condition? A. Oral doxycycline for 6-12 weeks B. High dose isotretinoin C. Topical erythromycin gel D. Topical tacrolimus ointment E. Topical metronidazole T …
Topical Metronidazole Therapeutic Cheat Sheet
topical metronidazoleMetronidazole is a nitroimidazole with antiprotozoal, antibacterial, and anti-inflammatory properties and is available in oral and topical formulations. The diverse mechanisms of action of metronidazole have expanded its utility across various dermatologic conditions. Topical metronidazole is well tolerated and has demonstrated improvements in inflammatory papules and pustules of rosacea. We conti …
topical metronidazole
Azelaic Acid Therapeutic Cheat Sheet
azelaic acidAzelaic acid is a topical therapeutic agent which is FDA approved to treat papules and pustules of mild to moderate rosacea and mild to moderate acne vulgaris.  It was first approved by the FDA in 1995 and since its approval, has been used for many off-label conditions including disorders of hyperpigmentation. Its utility in various conditions can be attributed to its anti-microbial, anti-inflamm …
azelaic acid
Rosacea in Patients with Skin of Color: Not Common, But Certainly Not Rare
rosaceaRosacea is defined by facial erythema and telangiectasias, two features that are more difficult to appreciate in patients with skin of color. To refine our ability to diagnose rosacea in all skin types, on day two of the 2021 Skin of Color Update virtual conference, we had an informative, evidence-based lecture, “Recognizing, Diagnosing, and Treating Rosacea in Patients with Skin of Color,” by …
rosacea
Treatment of Periorificial Dermatitis With Novel Narrow Spectrum Sarecycline
Periorificial DermatitisBroad spectrum tetracyclines are a well-known, widely used, and often successful treatment for use in inflammatory skin pathologies such as acne and rosacea. However, the steady rise of antibiotic resistance and gut dysbiosis associated with broad spectrum tetracyclines emphasizes the importance and responsibility of antibiotic stewardship. Narrow spectrum antibiotics have become increasingly impo …
Periorificial Dermatitis