Perioral dermatitis is a common acne-like, scaly rash that occurs around the mouth, nose, and sometimes under or on the eyelids. It is more common in adult females than males; though in children the difference between female and male is less prominent.
The cause of perioral dermatitis is unknown. Triggers include: harsh soaps, scrubbing, make-up, some fragrances, and occasionally fluorinated or mint toothpaste. Cortisone creams, while initially causing a slight improvement, will eventually flare the rash and cause it to be more entrenched. Typically the rash gets worse for 7-14 days after stopping the cortisone. But by doing this and starting the appropriate treatment the rash should clear.
What treatments are available?
Perioral dermatitis can be frustrating and cosmetically unappealing. We utilize effective treatment strategies to quickly clear your skin. Some treatments used at Utah Valley Dermatology:
- Oral Antibiotics
Even though perioral dermatitis is not an infection, oral antibiotics have a strong record of helping this rash resolve.
- Topical Treatments
Topical creams are weaker than oral antibiotics in treating perioral. They can be used in mild cases, pregnancy, and in those who cannot tolerate pills. These topicals are usually applied 1-2 times daily.
With treatment, perioral dermatitis can take up to 3-5 weeks to resolve. It is possible for the rash to have periodic recurrences. If this happens, using the topicals or a short course of oral medicine can help it resolve. In addition to any prescribed medications, we will also educate you on treatment strategies you can do at home to help quickly clear the rash and prevent a recurrence.
If you have questions concerning Perioral Dermatitis, call our office and schedule an appointment to meet with Dr. Myers. At your visit, Dr. Myers will work with you to develop an individualized treatment plan for your condition.
Dr. David Myers
Dr. David Myers is a board certified dermatologist and Fellow of the American Society for Mohs Surgery. His expertise and attention to detail make him a trusted doctor in his community.