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[Encyclopedia of Differential Diagnosis in Dermatology] Paul Schneiderman, Marc E. Grossman - A Clinician\'s Guide to Dermatologic Differential Diagnosis, Volume 1 The Text (Encyclopedia of Differential Diagnosis in D

NEOPLASTIC DISORDERS
Leukemia – HTLV-1 (acute T-cell leukemia) – perioral, perinasal,
retroauricular rashes 
JAAD 49:979–1000, 2003
Lymphoma – cutaneous T-cell lymphoma; perioral dermatitis
Clin Exp Dermatol 17:132–134, 1992
PARANEOPLASTIC DISORDERS
Glucagonoma syndrome – alpha cell tumor in the tail of the
pancreas; 50% of cases have metastasized by the time of
diagnosis; skin rash, angular stomatitis, cheilosis, beefy red
glossitis, blepharitis, conjunctivitis, alopecia, crumbling nails;
rarely, associated with MEN I or IIA syndromes 
Int J Derm
43:12–18, 2004; AD 133:909, 912, 1997; JAAD 12:1032–1039,
1985; Ann Intern Med 91:213–215, 1979
DERMATITIS, PERIORIFICIAL
141
Schneiderman page 100-200.qxd 5/16/2006 6:49 PM Page 141


PRIMARY CUTANEOUS DISEASE
Acanthosis nigricans
Atopic dermatitis
Childhood granulomatous perioral dermatitis 
J Eur Acad DV
19:470–473, 2005; Cutis 73:399–402, 2004; AD
138:1354–1358, 2002; Ped Derm 13:131–134, 1996; AD
128:1703–1708, 1989
Epidermolysis bullosa, junctional – letalis (atrophicans
generalisata gravis, Herlitz type) – extensive blistering
and erosions at birth; perioral and nasal exuberant
granulation tissue and erosions 
Rook p.1828–1829, 1998,
Sixth Edition; Epidermolysis Bullosa: Basic and Clinical
Aspects. New York: Springer, 1992:118–134; JAAD 12:836–844,
1985; also junctional EB mitis; cicatricial junctional
epidermolysis bullosa
Erythrose peribuccale pigmentaire of Brocq – diffuse brown
pigmentation around mouth with narrow perioral sparing; central
face, forehead, angles of jaw, temples 
Rook p.1791, 1998,
Sixth Edition
Facial Afro-Caribbean childhood eruption (FACE) – resembles
perioral dermatitis 
Clin Exp Dermatol 15:163–166, 1990;
BJD 91:435–438, 1976
Fine scaling, keratosis pilaris, periorificial crusting,
palmoplantar hyperkeratosis, blistering
JAAD 34:379–385, 1996
Granulomatous periorificial dermatitis – extrafacial and
generalized periorificial dermatitis 
AD 138:1354–1358, 2002
Intertrigo
Lichen sclerosus et atrophicus
Lichen simplex chronicus
Lip licker’s dermatitis 
Can Fam Physician 48:1051, 1059, 2002;
Rook p.698, 1998, Sixth Edition
Perioral dermatitis 
Int J Derm 42:514–517, 2003
Periorbital dermatitis (periorbital variant of perioral dermatitis) –
idiopathic or topical corticosterioid-associated 
Rook
p.2110–2111,3551, 1998, Sixth Edition
Psoriasis 
Cutis 43:157–158, 1989
Seborrheic dermatitis
Vitiligo

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