Perioral dermatitis
Created: 09.01.2025
Updated 09.01.2025
Approved by: Consultant Dermatologist, Dr James Denny
What is Perioral dermatitis?
Perioral dermatitis is a rash around the mouth that appears as red skin and small acne-like bumps. It primarily affects women between the ages of 20 and 50 years old, accounting for 90% of cases.
A clear cause for Perioral dermatitis has not yet been identified. However, doctors have seen a connection between Perioral dermatitis and the use of topical steroid creams. It can also be triggered by inhalers or steroid tablets, cosmetics, moisturisers and sunscreens.
What are the symptoms?
One of the first symptoms of Perioral dermatitis is a red rash appearing around the mouth. This rash may be dry or flaky or scaly. More often than not, there are also inflamed bumps present called papules. While it is most common around the mouth, perioral dermatitis can also spread to the eyelids, around the eyes, and the nose. It can also appear on the scalp, ears, neck, trunk, and genitals. The rash can cause a burning or itching sensation.
What are the treatments?
One of the first steps of Perioral dermatitis treatment is to stop using topical steroids or other creams on the face. These products can aggravate the symptoms making the condition even worse. If you notice symptoms of suspected Perioral dermatitis, it is important to seek medical advice promptly so that appropriate treatment can be prescribed if necessary.
More than often the severity of the condition dictates the perioral dermatitis treatment that is recommended. In addition to stopping the use of steroid creams, a course of oral antibiotics can help clear the rash. Milder cases can also settle with creams including those containing antibiotics. Patients suffering from the condition can consider the following self care advice:
- Avoid using perfumed cleansers and harsh face scrubs
- Do not use steroid creams, even over the counter hydrocortisone
- Reduce the usage of makeup, cosmetics, and sunscreens.
- Avoid picking your spots.
What is the prognosis?
Contacting a Dermatologist early can help identify the underlying cause of Perioral dermatitis and start appropriate treatment. Normally you should expect the Dermatologists to treat the condition within 12 weeks.
The recurrence of Perioral dermatitis is not uncommon, especially if the treatment is not fully completed. With adequate Perioral dermatitis treatment, patients should have an excellent prognosis, but if left untreated, the disease can linger for months or years. If left untreated, Perioral dermatitis can be burdensome to the patient’s mental health and permanent scarring.
