Head-and-neck dermatitis: Diagnostic difficulties and management pearls

Melody Maarouf, Chantal Saberian, Peter A Lio, Vivian Y. Shi*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

15 Scopus citations


Head-and-neck dermatitis is a variant of atopic dermatitis (AD) often seen in children and is challenging to diagnose, as it frequently overlaps with other eczematous dermatoses. Successful head-and-neck dermatitis (HND) treatment requires identification of common triggers and clinical mimickers, such as airborne dermatitis, periorificial dermatitis, and steroid-induced rosacea. Head-and-neck involvement negatively impacts quality of life and is often harder to treat than other body parts, as long-term topical corticosteroid use carries higher risks for skin atrophy on the face. Heating and flushing associated with HND further exacerbate the itch-and-scratch-cycle and disrupt sleep. We aim to address diagnostic gaps, identify clinical mimickers, and share clinical pearls in managing HND, including cooling pillows, thermal water sprays, rice starch paper facial masks, and tips to minimize food and saliva-induced facial irritation.

Original languageEnglish (US)
Pages (from-to)748-753
Number of pages6
JournalPediatric dermatology
Issue number6
StatePublished - Nov 1 2018


  • head-and-neck eczema
  • periorificial dermatitis
  • steroid-induced rosacea

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Dermatology


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