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Case of the Month

mouth rash in young girl

A 9-year-old girl presents with bumps around her mouth of 4 weeks duration. Her mother said she is getting progressively worse and they are applying moisturizing lotion once or twice daily without benefit. She is otherwise healthy.

What's Your Diagnosis?

Diagnosis: Childhood granulomatous periorificial dermatitis

Childhood granulomatous periorificial dermatitis (CGPD) is an uncommon granulomatous variant of perioral dermatitis. I treated this (70lb) little girl with topical Metrocream, Elidel cream (each QD) and oral Zithromax (1/2 tab daily x 1 month). She came back at day 30 and was still active, with about 85% improvement. As a result, I extended her treatment for 2 more weeks. These photos represent baseline and follow up at week 6. Thanks for everyone's input on this case.


Childhood granulomatous periorificial dermatitis.

mouth rash in young girl
Before Treatment
before treatment around mouth
After Treatment

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Charles Crutchfield III M.D. Eagan Dermatologist

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