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Perioral dermatitis

Updated: 9/27/2023
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13y ago

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Definition

Perioral dermatitis is a skin disorder characterized by tiny red bumps (papules) around the mouth.

Causes, incidence, and risk factors

Perioral dermatitis most commonly affects young women. However, it sometimes affects men, too. While its exact cause is unknown, it may appear after skin creams containing steroids are applied to the face to treat other conditions.

Symptoms

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, patients are most concerned with the cosmetic appearance of the bumps.

Signs and tests

Your health care provider will likely diagnose perioral dermatitis based upon the appearance of your skin. A test for bacteria may sometimes be needed to eliminate the possibility of infection.

Treatment

Generally, skin creams containing steroids should not be used to treat perioral dermatitis. Your health care provider may choose to treat the bumps with other topical (applied directly to the skin) 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.

Expectations (prognosis)

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.

Calling your health care provider

Call your health care provider if you notice persistent red bumps around your mouth.

Prevention

Avoid using skin creams containing steroids on your face, unless specifically directed by your dermatologist.

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13y ago
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Wiki User

12y ago
Definition

Perioral dermatitis is a skin disorder in which tiny red bumps form around the mouth.

Causes, incidence, and risk factors

The exact cause of perioral dermatitis is unknown. It may occur after using face creams containing steroids for another condition.

Young women are most likely to get this condition.

Symptoms

Symptoms include:

  • Burning feeling around the mouth
  • Bumps around the mouth, may be filled with fluid or pus
  • A similar rash may appear around the eyes, nose, or forehead and may be mistaken for acne

Itching is not a common symptom.

Signs and tests

Your doctor or nurse can usually diagnose this condition by looking at your skin. Sometimes, tests are done to see if bacteria is causing an infection.

Treatment

Steroid skin creams should NOT be used to treat this condition.

Treatment may include skin medicines such as:

  • Metronidazole
  • Erythromycin
  • Benzoyl peroxide
  • Tacrolimus
  • Clindamycin
  • Pimecrolimus
  • Sodium sulfacetamide with sulfur

If the condition is severe, your doctor may prescribe antibiotics taken by mouth. Antibiotics used to treat this condition include tetracycline, doxycycline, minocycline, or erythromycin.

Expectations (prognosis)

Perioral dermatitis is difficult to treat effectively. It often requires several months of treatment.

Bumps usually return, particularly if you put skin creams containing steroids on your face.

Calling your health care provider

Call your health care provider if you notice persistent red bumps around your mouth.

Prevention

Avoid using skin creams containing steroids on your face, unless specifically directed by your dermatologist.

Reviewed By

Review Date: 11/22/2011

Kevin Berman, MD, PhD, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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