Perioral Dermatitis
Introduction
Dermatitis is inflammation of upper layer of the skin causing redness, swelling, itching and scaling.
Perioral dermatitis is the inflammation around the mouth area. It is a facial eruption that may resemble acne. It is one of the common skin problems and most commonly affects young women.
Causes
The exact cause of perioral dermatitis is unknown; however use of topical corticosteroids can aggravate the condition. Other causes include overuse of cosmetics, steroid sprays used in the nose and the mouth, fluoridated toothpastes and certain dental products.
Clinical features
It is characterized by a rash that is red and slightly bumpy. It affects the sides of the chin and the area around the mouth. Occasionally it may spread around the nose, eyes, and cheeks. Uncomfortable burning sensation and itching is present around the mouth. In most cases pus filled bumps may be seen and the rash appears similar to acne.
Treatment
The first step in the treatment is to discontinue all topical steroid creams. Heavy face creams should be avoided. A mild soap should be used for face washing. Resnik Dermatology Non-Drying Gentle Cleanser or Cetaphil Cleanser are the ones I recommend. Wash very gently with your finger tips once or twice daily. Avoid any harsh scrubbing at all.
Topical antibacterial creams and lotions may be used for faster relief.
Oral antibiotics from the "mycin" family may be required in severe cases. These antibiotics lower bacterial counts on the skin and lessen their effect. Antibiotics are prescribed for a period of 3–12 weeks with tapering the dose. Long-term treatment for several months may prevent recurrence. The contraceptive effectiveness of Birth Control Pills may be impaired by certain antibiotics taken at the same time. If you depend upon Birth Control Pills for contraception, and if you are prescribed antibiotics for long-term use, we will discuss with you the steps you should take to minimize the possibility of pregnancy.
Preventive tips
- Avoid using oil containing creams and lotions
- Use a gentle face wash
- Use of non fluoride tooth paste to prevent recurrence
- Avoid using corticosteroid creams on your face
- Avoid temperature extremes of hot and cold
- Drink plenty of fluids during exercise to keep cool
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See complete Wikipedia article here.
For more information from the American Academy of Dermatology click here.
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