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Forum Name: Pediatric Topics

Question: perioral dermatitis in a toddler?


 kaitka - Fri May 11, 2007 5:52 pm

For about 3 months now, my 16-month-old daughter has had a red rash around her mouth and underneath her nostrils. After researching, I've found that the photos online posted as "perioral Dermatitis match her rash PERFECTLY. However, I read that this condition is usually called from steroid creams and affects women aged 20-45. Not 16 months!

I don't use any kinds of creams on my daughter's face. I just wash her face with Johnson & Johnson's baby wash in the bathtub every other day and wipe her face with mild baby wipes or a wet washcloth after meals. I read something about fluoride toothpaste causing this also. The toothpaste I use on her is non-fluoride toddler toothpaste, but I'm wondering about the fluoride levels in our city water supply. I developed fluorosis as a small child growing up in this area with my mom mixing formula with the city water. Is it possible she is getting too much fluoride from the water, and drinking water throughout the day from a sippy cup is causing this?
 Dr. Chan Lowe - Sat May 26, 2007 9:02 pm

User avatar It would be a bit unusual to have peri-oral dermatitis at that age. More common is a condition known as "lip-lickers dermatitis" that is caused by excess moisture from repeated licking of the lips.

I would recommend that you have your daughter's pediatrician take a look to see if she may need a mild steroid cream to help the rash resolve.

Best wishes.

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