(Disease)
On this page, you will find everything you need to know about perioral dermatitis.
What is perioral dermatitis? It is an inflammatory rash that affects the skin around the mouth. This rash often appears as small, red, pimple-like bumps in people with light skin, and skin-colored bumps in people with dark skin.
What are the symptoms of perioral dermatitis? The main symptom of perioral dermatitis is a red rash around your mouth, which may be scaly or dry. Other symptoms may include:
Itchiness.
Burning sensation on the skin.
Some people may develop Conjunctivitis, also known as pink eye.
What are the causes of perioral dermatitis? The exact cause of perioral dermatitis is not fully understood, but possible causes include:
corticosteroids:
Topical steroid creams (corticosteroid).
Inhaled (corticosteroid) sprays.
Lifestyle factors:
Thick moisturizers and facial creams.
Certain types of toothpaste, especially those containing fluoride.
Frequent chewing gum use.
Dental fillings.
Hormonal fluctuations, including those caused by oral contraceptives.
Impaired skin barrier.
Immune system disorders.
Changes in skin bacteria.
How is perioral dermatitis diagnosed? The doctor will take a medical history and perform a physical examination, and diagnosis is often made by examining the irritated skin. Additional tests may be ordered if necessary, such as:
Skin biopsy.
Skin swabs or scrapings.
Potassium hydroxide (KOH) test to rule out bacterial and fungal infections.
Patch testing to rule out allergic contact dermatitis.
What are the treatments for perioral dermatitis? Treatment typically starts with discontinuing potential triggers, such as:
Topical or inhaled steroids, including OTC formulations. If your healthcare provider prescribed steroids, ask if you can switch to a different medication.
Facial creams, including moisturizers.
Cosmetics.
Sunscreens.
Toothpaste containing fluoride.
Chewing gum.
Your doctor may also prescribe medications such as:
Topical antibiotics.
Oral antibiotics for severe cases.
What are the prevention methods for perioral dermatitis?
Opt for fragrance-free skin creams and cleansers.
Avoid corticosteroids unless prescribed.
What are the complications of perioral dermatitis?
Secondary bacterial or fungal infections.
Chronic itching and flaking may lead to lichenification (thickening) and hyperpigmentation.
scarring.
Potential progression to rosacea.
When should you see a doctor? It is recommended to consult a healthcare provider if symptoms of perioral dermatitis appear.
Frequently Asked Questions:
Do certain foods worsen or improve perioral dermatitis* around the ear*? No dietary links to perioral dermatitis have been established. However, frequent gum chewing may trigger flare-ups.
