Boy has smooth, pink papules around his mouth – Let’s diagnose

A 7-year-old boy was brought to the doctor by his mother regarding a facial rash that had developed over the past few weeks. On examination, smooth, pink papules were seen around his mouth. The patient had a history of asthma, for which he used inhalational budesonide daily, through a mask, as maintenance therapy. He was otherwise healthy, had no systemic symptoms, and appeared well.

What’s the diagnosis?

1. Acne vulgaris
2. Molluscum contagiosum
3. Perioral dermatitis of childhood
4. Atopic dermatitis

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