pulmicort and Dermatitis--Perioral

Topically applied corticosteroid is a known provoking factor in perioral dermatitis. In recent years inhaled corticosteroids have become first line therapy for asthma in children. We present two characteristic cases of perioral dermatitis that developed during asthma treatment with budesonide using either a nebulizer or a spacer connected with a mask. In severe cases treatment with oral erythromycin or topical metronidazole gel may be considered. The eruption should not be confused with atopic eczema.

Topics: Administration, Inhalation; Administration, Topical; Aerosols; Anti-Asthmatic Agents; Anti-Inflammatory Agents; Bronchodilator Agents; Budesonide; Child, Preschool; Dermatitis, Perioral; Glucocorticoids; Humans; Male