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Perioral Dermatitis

Perioral dermatitis is a skin disorder characterized by tiny red bumps (papules) around the mouth. Perioral dermatitis most commonly affects young women. However, it sometimes affects men, too.

Causes of Perioral Dermatitis

While its exact cause is unknown, it may appear after skin creams containing steroids are applied to the face to treat other conditions.

Symptoms of Perioral Dermatitis

Perioral dermatitis is usually characterized by an uncomfortable burning sensation around the mouth. Itching is not a common symptom.

In most cases, bumps (papules) and fluid- or pus-filled bumps (vesicopustules) are seen around the mouth. Rarely, a similar rash may appear around the eyes, nose, or forehead. The rash appears very similar to acne.

Usually, people are most concerned with the cosmetic appearance of the bumps.

Treatment of Perioral Dermatitis

Generally, skin creams containing steroids should not be used to treat perioral dermatitis. Your physician may choose to treat the bumps with other topical medications, such as metronidazole, erythromycin, benzoyl peroxide, tacrolimus, clindamycin, or pimecrolimus.

In more severe cases, oral antibiotics (such as tetracycline, doxycycline, minocycline, or erythromycin) may be required. Perioral dermatitis is a difficult condition to treat effectively. It often requires several months of treatment. It is not unusual for the bumps to return, particularly if skin creams containing steroids are reapplied to the face.

References:
National Library of Medicine (NLM)
February 2008
medlineplus.gov