Treatment for perioral dermatitis is determined based on the severity of your condition. Using of mild soaps and stopping the use of heavy skin creams and fluorinated toothpaste may also ease the symptoms in some people.
Perioral dermatitis is an inflammation or a rash on the face which causes bumps to form around the mouth. The rash may also appear around the forehead, nose, or even the eyes.
Perioral dermatitis is commonly seen in young women, but it can also affect men as well.
What Is Perioral Dermatitis?
Perioral dermatitis is a swelling or an inflammation with formation of rash around the skin of the mouth. This rash can sometimes spread up to the eyes and nose. It often appears as a bumpy or scaly rash around the lips. It usually appears red, and may present with burning sensation and slight itching.
What Causes Perioral Dermatitis?
Perioral dermatitis causes are unknown. However, some research work suggests that it can appear as a result of an application of topical steroids cream on the face.
According to American Osteopathic College of Dermatology, nasal sprays which contain corticosteroids can lead to an outbreak of perioral dermatitis.
Heavy skin creams containing paraffin base or petrolatum can also cause perioral dermatitis or worsen the condition.
Some other factors that may act as a trigger for condition include:
- Fluorinated toothpaste
- Bacterial infections
- Fungal infections
- Drooling constantly
- Some forms of oral contraceptives
- Some form of sunscreen
What Are The Symptoms Of Perioral Dermatitis?
Perioral dermatitis often appears as a rash of red bumps on the skin of the mouth, in the folds around the nose, around the eyes and also forehead.
These bumps sometimes contain fluids or pus and may even look like acne. The condition often characterized by an uncomfortable burning sensation around the skin of the mouth.
The burning and itching sensation occurs as the rash worsens.
How Can I Prevent Perioral Dermatitis?
Since the factors which cause perioral dermatitis vary, there is no foolproof way to avoid getting it. Here are some tips to help alleviate it or to keep it from getting worse. They include:
- Switching to a mild or gentle moisturizer and cleansers. You can ask your dermatologist for any recommendations that best suit your skin type.
- Avoiding steroid creams and ointments unless there have been specifically directed by your doctor.
- Avoiding the use of heavy cosmetics or skin creams.
- Limiting the amount of time your skin comes into contact with UV rays, heat or even wind, which can also aggravate perioral dermatitis.
Diagnosis Of Perioral Dermatitis
Your doctor or dermatologist is likely to diagnose perioral dermatitis based a visual examination of your skin’s appearance. Tests are not usually required, but in some cases, a skin culture test may be done to rule out the possibility of infection.
Treatment For Perioral Dermatitis
Treatment for perioral dermatitis can be carried out by stopping the use of all facial creams and topical steroid medications.
Oral or topical antibiotics treatment for perioral dermatitis or a combination of them, may be used as an anti-inflammatory drug.
The American Osteopathic College of Dermatology (AOCD) recommends stopping all use of nasal spray containing steroids or topical steroid creams if possible. However, it is important to talk to your doctor before stopping any medications.
Some of the medications your doctor may prescribe for the treatment of perioral dermatitis include:
- Topical anti-acne medications, which include; adapalene or azelaic acid.
- Topical antibiotic medications, which include; erythromycin and metronidazole (Metrogel).
- Immunosuppressive creams, which include; pimecrolimus cream.
- Some oral antibiotics, which include; tetracycline, doxycycline, minocycline, or isotretinoin, in severe cases.