Facial demodicosis (infestation with Demodex follicularis) clinically resembles perioral dermatitis (POD) and should be excluded, especially when anti-inflammatory therapies fail and if the patient is immunosuppressed. 
Patients who are prone to acne or rosacea may experience worsening while undergoing topical therapy with topical immunomodulators (eg, with tacrolimus ointment). 
Haber syndrome, or familial rosacealike dermatosis with intra-epidermal epitheliomas, keratotic plaques, and scars, is a rare genodermatosis that begins in childhood.
Granulomatous periorificial dermatitis manifests most commonly in prepubertal children as yellow-brown papules limited to the perioral, perinasal, and periocular regions with perineal involvement described. The condition is self-limited and is not associated with systemic involvement. 
Sarcoidosis can also present with papular facial lesions revealing noncaseating granulomas on histology.
What would you like to print?