Perioral dermatitis: pictures and clinical information from the dermatology department

Perioral dermatitis

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What is perioral dermatitis?
Perioral dermatitis is a very common skin disorder presenting with red, itchy and burning bumps in the face. It occurs around the mouth, but often also around the eyes and nose. Perioral dermatitis is more often seen in women than in men.

Symptoms of perioral dermatitis
It consists of groups of small red bumps around the mouth. It typically spares the skin bordering the red of the lips. Sometimes little pustules may appear in the affected skin area. Often, the skin also has a dry and rough surface. Itch and a burning sensation are common symptoms.

What is the cause?
The cause of perioral dermatitis is still unclear. Some factors are known triggering factors of perioral dermatitis. The use of topical steroids in the face is the most important factor. The more potent the steroid cream is, the more severe the perioral dermatitis will be. In some individuals, the use of all kinds of lotions, sunscreens and cosmetics may provoke perioral dermatitis.

Treatment
It is important to stop using all creams and other cosmetics. Wash the skin gently with luke-warm water and avoid using soapes or cleansers. Your doctor may prescribe a course of antibiotics such as tetracycline or doxycycline. Topical antibiotics such as clindamycin may have an additional effect.