Perioral dermatitis is a common facial rash that appears in the area surrounding the mouth. Typically, it presents as a red, slightly scaly, or bumpy rash and may cause mild itching or burning sensations. In some cases, it may spread to the skin around the nose and even the eyes but typically spares the skin adjacent to the lips. Some people get it around their genitals. If you have a rash around any of these areas, your dermatologist may say you have "peri-orificial dermatitis."
While it affects both genders, it is more frequently observed in women and less common in men and children. This condition tends to be recurrent, with episodes of rash coming and going over months or even years. It's good to know that no matter where this rash appears, it is not contagious.
Does perioral dermatitis hurt? The dry, flaky skin and burning sensation around the affected areas are uncomfortable.
Causes and risk factors
The cause of perioral dermatitis is still unknown, but many things can worsen it. One of the main things is using certain creams or ointments that have steroids in them; if you use them too much, these can exacerbate the condition. When people stop using these creams, the rash usually returns and can worsen. Other things can make perioral dermatitis worse, like using certain toothpaste, chewing gum, or makeup. It's important to talk to a doctor if you have perioral dermatitis so they can help you determine what might be causing it and how to treat it. Exactly how topical steroids contribute to perioral dermatitis is still unknown. However, scientists believe these medicines may affect the tiny living organisms on our skin that live in hair follicles. Some experts think germs like Candida albicans, fusiform bacteria, and Demodex mites might be involved. There may also be hormonal factors at play since this condition mainly affects women, and some studies have found that taking birth control pills can help.
Can you treat perioral dermatitis?
According to the American Academy of Dermatology Association, if you want to get rid of perioral dermatitis, you should stop using all corticosteroids, including hydrocortisone cream, and talk to your doctor about other options. Using corticosteroids might make you feel better temporarily, but it won't solve the problem. Continuing corticosteroid usage may worsen the rash with each application, reinforcing the importance of discontinuing its use.
If you have a rash on your skin, it might go away on its own, but you need to see a dermatologist to make the diagnosis and get rid of it. To help eliminate the rash, you should:
- Always go to your doctor to check it out.
- Stop using corticosteroids.
- Take antibiotics.
- Change your skincare routine, which means being careful about the makeup you use on your face.
- Use a cleanser that doesn't have any fragrances.
- Be gentle when you wash your face.
In conclusion
Talking to a dermatologist is essential for a personalized treatment plan. Even though antibiotics are often used, your case might need a different medication. Sometimes, the dermatologist might recommend using a mild corticosteroid cream along with other medicines, depending on what's best for you. Remember that the rash may take weeks or months to clear, so don't get discouraged. Taking care of your skin is super important. Make sure to practice a skincare routine that keeps your skin clean and healthy. You can search for organic and clean products to use, and if you have any doubts or concerns, talk to your dermatologist. They're there to help you!
References:
Assessed and Endorsed by the MedReport Medical Review Board