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April 1976

Periorbital Dermatitis

Arch Dermatol. 1976;112(4):563. doi:10.1001/archderm.1976.01630280081044

To the Editor.—  Perioral dermatitis was first definitively described by Mihan and Ayres in 1964.1 The lesions in this condition consist of discrete papules, vesicles, and pustules associated with diffuse erythema and scaling. As the name implies, it is most frequently seen about the mouth. However, the same condition can occur in other areas, and we are reporting three patients whose eruption involved the skin about the eyes.

Report of a Case.—  A 32-year-old man sought attention for a pruritic eruption of the eyelids of about eight months' duration. He previously had been considered to have herpes simplex infection and had been treated to no avail with topically applied idoxuridine and neutral red photo inactivation. When we saw him, he had multiple small papules, pustules, and slight erythema and scaling of the lateral aspects of the upper and lower lids of both eyes. He also had slight scaling of

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