Perioral dermatitis is a skin disorder resembling acne or rosacea. In most cases, it involves tiny red pumps that form on the lower half of the face in the folds of the nose and around the mouth.
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. This condition is also common in children.
Periorificial dermatitis may be brought on by:
Symptoms may include:
The rash may be mistaken for acne.
Self-care you may want to try include:
DO NOT use any over-the-counter steroid creams to treat this condition. If you were taking steroid creams, your provider may tell you to stop the cream. They may also prescribe a less potent steroid cream and then slowly withdraw it.
Treatment may include medicines placed on the skin such as:
You may need to take antibiotic pills if the condition is severe. Antibiotics used to treat this condition include tetracycline, doxycycline, minocycline, or erythromycin.
At times, treatment may be needed for up to 6 to 12 weeks.
Perioral dermatitis requires several months of treatment.
Bumps may return. However, the condition does not come back after treatment in most cases. The rash is more likely to return if you apply skin creams that contain steroids.
Call your provider if you notice red bumps around your mouth that do not go away.
Avoid using skin creams containing steroids on your face, unless directed by your provider.
Habif TP. Acne, rosacea, and related disorders. In: Habif TP, ed. Clinical Dermatology. 6th ed. Philadelphia, PA: Elsevier; 2016:chap 7.
James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM. Acne. In: James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM, eds. Andrews' Diseases of the Skin: Clinical Dermatology. 13th ed. Philadelphia, PA: Elsevier; 2020:chap 13.
There are no recent clinical trials available for this condition. Please check back because new trials are being conducted frequently.