GRANULOMATOUS PERIORAL DERMATITIS WITH EXTRA-FACIAL INVOLVEMENT IN CHILDHOOD: GOOD THERAPEUTIC RESPONSE WITH ORAL AZITHROMYCIN

OBJECTIVE: To present a case of granulomatous perioral dermatitis (GPD) with extra-facial involvement and good response to short-term treatment with oral macrolide. CASE DESCRIPTION: A 9-year-old girl presented with exuberant GPD with extra-facial involvement. During follow-up, she received multiple ineffective therapies, but showed significant improvement of the lesions after the use of azithromycin for five days. COMMENTS: GPD is an inflammatory dermatological condition represented by papulo-erythematous eruptions on perioral, nasal and periorbital regions, more prevalent in children and adolescents. It rarely extends to the genital region, trunk, and extremities, which characterizes its extra-facial manifestation. Its etiology is unknown, but it seems to have a correlation with the use of topical corticosteroids and other agents.