Skin problems health centre

Skin conditions: Perioral dermatitis

Perioral dermatitis is a facial rash that causes bumps to develop round the mouth. In rare cases, a similar rash may appear round the eyes, nose or forehead.

The Primary Care Dermatology Society says the name is misleading as it is not a type of dermatitis.

Image: Perioral dermatitis. Scattered inflammatory papules, erythema, and scale in a child who has been applying topical steroids to the area.

The condition is most commonly seen in young women (90% of cases), but it can affect men as well.

What causes perioral dermatitis?

The exact cause of perioral dermatitis is not known. However, it may appear after topical steroid creams are applied to the face to treat other conditions.

What are the symptoms of perioral dermatitis?

Perioral dermatitis results in bumps round the skin of the mouth, and a rash may appear round the eyes, nose and forehead.

The condition is normally characterised by an uncomfortable burning sensation round the mouth.

How is perioral dermatitis diagnosed?

A doctor is likely to make a diagnosis of perioral dermatitis based on the skin's appearance. Usually, no tests are carried out. In some cases, a culture for bacteria may be needed to eliminate the possibility of infection.

How is perioral dermatitis treated?

Discontinue the use of all topical steroid medication and facial creams. Try a liquid or gel sunscreen instead of a cream.

Oral antibiotics for six to 12 weeks may also be prescribed.