IDENTICAL TWINS WITH PERIORAL DERMATITIS

fiber intake and hydration, and complete regression was noted in all patients in 3 weeks. We agree that there is a need for naming this anomaly which may prompt a referral to pediatric dermatology, gastroenterology, or surgery. This entity should be recognized especially to avoid a sex abuse survey when an erroneous diagnosis of genital warts is made. The reason why this anomaly is seen mostly in young female infants (and possibly also in elderly women) (3) may well relate to the presence of an area of constitutional weakness in the perineum in females. We have not noted that wiping after defecation was a cause of increased irritation in our patients, but we emphasize that treating associated constipation is helpful.