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Patient caught in "vicious cycle" with perioral rash

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4. When steroid “addiction” is found, the medication must be withdrawn slowly and replaced by a weaker steroid cream or pimecrolimus ointment for up to a month.

5. POD can also be seen in the periorbital, perinasilar, and nasolabial areas.

6. In mild cases, consider “treating” POD by simply ceasing all contactants.

7. Consider early referral to dermatology.

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