Perioral dermatitis is a common facial rash that primarily affects the area around the mouth and sometimes the eyes or nose. It presents as red, inflamed bumps or pustules and is often mistaken for acne. This condition can cause significant distress, but with proper treatment, it can be effectively managed. At Skinsol Dermatology, we offer treatments to reduce flare-ups and help manage the condition.
Causes and Risk Factors
The exact cause of perioral dermatitis is not fully understood, but several factors may contribute to its development:
Hormonal fluctuations: Changes in hormone levels, especially in women, can trigger or worsen perioral dermatitis.
Topical steroid use: Long-term use of topical steroids, such as hydrocortisone, is one of the most common causes of perioral dermatitis.
Infections: The condition may be linked to a bacterial infection, including a strain of Helicobacter pylori, or fungal overgrowth.
Environmental factors: Exposure to hot or cold weather, sunlight, and humidity can worsen symptoms.
Stress: Emotional stress is often a contributing factor in the development or flare-up of perioral dermatitis.
It can also affect people with a history of rosacea, and individuals with fair skin may be at higher risk.
Diagnosis
Perioral dermatitis is typically diagnosed through a physical examination of the skin. Our dermatologists will assess the appearance of the rash and ask about the patient’s medical history, including any use of topical steroids. A skin biopsy is usually not needed but may be performed in rare cases to rule out other conditions with similar symptoms, such as acne or eczema.
Treatment Options
There are several treatment options for perioral dermatitis, depending on the severity of the condition. These may include:
Topical antibiotics: Medications such as metronidazole or clindamycin may be prescribed to reduce inflammation and bacterial overgrowth.
Oral antibiotics: For more severe cases, oral antibiotics like tetracycline or doxycycline are often used to control symptoms.
Discontinuing steroids: Gradually discontinuing the use of topical steroids is essential, as they can exacerbate the condition. This should be done under a healthcare provider’s supervision.
Topical anti-inflammatory treatments: Other topical treatments, such as sulfur-based creams, can help reduce inflammation and redness.
Skin care adjustments: Avoiding triggers such as harsh skincare products, sun exposure, and stress management can help reduce flare-ups.
A combination of these treatments is often the most effective in managing the condition. Your treatment plan will be tailored to suit your specific needs and severity of symptoms.
