Perioral dermatitis as the name suggests is a facial rash that commonly occurs around the mouth. It makes the skin red, slightly scaly or bumpy. There is a mild itching in this form of dermatitis unlike in other cases where the itching can be fairly severe. This dermatitis may spread up around the nose, and occasionally the eyes while avoiding the skin adjacent to the lips. This skin condition mainly harms women and is rare in men and children. Perioral dermatitis leaves you after a year of damage but in some cases it stays for years
There are some researched causes of perioral dermatitis. Among them the most common factors is a sustained use of topical steroid creams and inhaled prescription steroid sprays used in the nose and the mouth. Excessive use of face creams and moisturizers also cause this disease. Some other causes include skin irritants, fluorinated toothpastes etc.
No tests are done to determine perioral dermatitis, and it can only be done by examination by your dermatologist. Usually the first step after your check up is to discontinue all topical steroid creams, even non-prescription hydrocortisone. Patients is the key to the treatment as after discontinuing your medication rashes would start to reappears and feels awful this trend continues for days to weeks before it starts to improve. In this case other face creams should also be avoided.
A mild soap or soap substitute, which has moisturizers, should be used for washing. Vigorous scrubbing should be avoided. Look for anything that may cause it to worsen and stop it.
The most effective treatment for this disorder is oral antibiotics. These are prescription medications that are taken for three to twelve weeks. Some antibacterial creams and lotions may also be used for faster relief.