PERIORAL DERMATITIS
Perioral dermatitis is a common yet often misunderstood skin condition that affects people of all ages, especially young women and children. Characterized by a red, bumpy rash around the mouth, nose, or eyes, it can cause significant discomfort and impact self-esteem. At Utah Valley Dermatology, we believe in empowering patients with knowledge about their skin.
What Causes Perioral Dermatitis?
While the exact cause of perioral dermatitis remains unknown, several factors are believed to contribute to its development. These include:
- Topical Steroids: Prolonged use of topical corticosteroids on the face is one of the most common triggers.
- Cosmetic Products: Heavy moisturizers, sunscreens, and certain makeup products can irritate the skin and worsen symptoms.
- Hormonal Changes: Hormonal fluctuations or contraceptive use may play a role.
- Lifestyle Factors: Stress, poor diet, and environmental factors like humidity can exacerbate the condition.
- Bacterial or Fungal Involvement: In some cases, microorganisms like Candida albicans may contribute to inflammation.
Understanding these triggers is key to managing and preventing perioral dermatitis.
What Are the Symptoms of Perioral Dermatitis?
Perioral dermatitis often resembles other skin conditions like acne or rosacea, making proper diagnosis essential. Common symptoms include:
- Red bumps or papules around the mouth, nose, or eyes.
- Burning or itching sensations in the affected area.
- Dryness or flaking skin texture.
- Rash that worsens with heavy creams or steroid use.
A dermatologist can diagnose perioral dermatitis through a physical examination and by ruling out other conditions. If you’re experiencing persistent symptoms, it’s important to seek professional advice.
How Is Perioral Dermatitis Treated?
At Utah Valley Dermatology, we take a comprehensive approach to treating perioral dermatitis. Treatment often involves lifestyle changes, topical treatments, and oral medications.
1. Lifestyle Adjustments
- Stop using topical steroids immediately (unless prescribed for another condition).
- Avoid heavy creams, cosmetics, and fluorinated toothpaste.
- Switch to gentle skincare products that are fragrance-free and non-comedogenic.
2. Topical Treatments
- Antibiotic creams such as metronidazole or erythromycin.
- Anti-inflammatory creams like pimecrolimus or tacrolimus.
- Sulfur-based creams or azelaic acid gels for mild cases.
3. Oral Medications
- For most cases, oral antibiotics such as doxycycline or minocycline are prescribed to reduce inflammation.
4. Self-Care Tips
- Wash your face with warm water only during flare-ups to avoid further irritation.
- Avoid scrubbing or exfoliating the affected area.
With proper treatment and care, most patients see improvement within 6–12 weeks.
How Can You Prevent Perioral Dermatitis?
Prevention is always better than cure. To minimize your risk of developing perioral dermatitis:
- Avoid using topical steroids on your face unless directed by a doctor.
- Stick to gentle skincare products free from fragrances and harsh chemicals.
- Identify potential triggers like fluoride toothpaste or irritating cosmetics.
By taking these steps proactively, you can keep your skin healthy and prevent flare-ups.
Perioral dermatitis may be frustrating, but it can be managed effectively with the right knowledge and treatment plan. If you’re experiencing symptoms or need help identifying triggers, Utah Valley Dermatology is here to help. Our experienced dermatologists provide compassionate care tailored to your unique skin concerns.
