Pediatric periorificial dermatitis and pediatric rosacea: two case reports.

Abstract

We present two rare dermatological cases: an 11-year-old boy with pediatric rosacea and a 5-year-old girl with perioral dermatitis. The first patient exhibited central facial lesions that ultimately required hospitalization. He was initially diagnosed with impetigo and treated with cephalexin, oxacillin, and dexamethasone without significant improvement. Subsequent evaluation by a pediatric dermatologist led to a revised diagnosis of pediatric rosacea. The second case involved a 5-year-old girl with periorificial lesions, diagnosed with atopic dermatitis and managed with multiple treatment courses over three years, including corticotherapy, antibiotics and antifungal drugs, without success. The correct diagnosis of periorificial dermatitis was later established, and her condition improved with appropriate therapy. These cases highlight the critical importance of precise dermatological diagnosis to avoid unnecessary and prolonged treatment.