BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuPerioral dermatitisPeriorificial dermatitisPerioral dermatitis is a skin disorder resembling acne or rosacea. In most cases, it involves tiny red pumps that form on the lower half of the face in the folds of the nose and around the mouth.AcneAcne is a skin condition that causes pimples or "zits. " Whiteheads, blackheads, and red, inflamed patches of skin (such as cysts) may develop....ImageRead Article Now Book Mark Article RosaceaRosacea is a chronic skin problem that makes your face turn red. It may also cause swelling and skin sores that look like acne.ImageRead Article Now Book Mark Article Causes The exact cause of perioral dermatitis is unknown. It may occur after using face creams containing steroids for another condition. Young women are most likely to get this condition. This condition is also common in children. Periorificial dermatitis may be brought on by: Topical steroids, either when they are applied to the face on purpose or by accident Nasal steroids, steroid inhalers, and oral steroids Cosmetic creams, make-ups and sunscreens Fluorinated toothpaste Failing to wash the face Hormonal changes or oral contraceptives Symptoms Symptoms may include:Burning feeling around the mouth. The creases between the nose and mouth are most affected. Bumps around the mouth that may be filled with fluid or pus. A similar rash may appear around the eyes, nose, or forehead. The rash may be mistaken for acne. Exams and Tests Your health care provider will examine your skin to diagnose the condition. You may need to have other tests to find out if it is due to a bacterial infection. Treatment Self-care you may want to try include:Stop using all face creams, cosmetics, and sunscreen. Wash your face with warm water only. After the rash has cleared, ask your provider to recommend a non-soap bar or a liquid cleanser. DO NOT use any over-the-counter steroid creams to treat this condition. If you were taking steroid creams, your provider may tell you to stop the cream. They may also prescribe a less potent steroid cream and then slowly withdraw it.Treatment may include medicines placed on the skin such as:Metronidazole Erythromycin Benzoyl peroxide Tacrolimus Clindamycin Pimecrolimus Sodium sulfacetamide with sulfur You may need to take antibiotic pills if the condition is severe. Antibiotics used to treat this condition include tetracycline, doxycycline, minocycline, or erythromycin.At times, treatment may be needed for up to 6 to 12 weeks. Outlook (Prognosis) Perioral dermatitis requires several months of treatment.Bumps may return. However, the condition does not come back after treatment in most cases. The rash is more likely to return if you apply skin creams that contain steroids. When to Contact a Medical Professional Call your provider if you notice red bumps around your mouth that do not go away. Prevention Avoid using skin creams containing steroids on your face, unless directed by your provider.Open ReferencesReferencesDinulos JGH. Acne, rosacea, and related disorders. In: Dinulos JGH, ed. Habif's Clinical Dermatology. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 7.James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM. Acne. In: James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM, eds. Andrews' Diseases of the Skin: Clinical Dermatology. 13th ed. Philadelphia, PA: Elsevier; 2020:chap 13.AllVideoImagesTogPerioral dermatitis - illustration Perioral dermatitis is most common in young to middle age women. Frequently, no specific cause is found. However, there appears to be an association with fluorinated steroids. In children, dermatitis around the mouth may be associated with irritation from specific foods or other materials carried to the face on the hands.Perioral dermatitisillustrationPerioral dermatitis - illustration Perioral dermatitis is most common in young to middle age women. Frequently, no specific cause is found. However, there appears to be an association with fluorinated steroids. In children, dermatitis around the mouth may be associated with irritation from specific foods or other materials carried to the face on the hands.Perioral dermatitisillustrationRelated Information Review Date: 8/14/2021 Reviewed By: Elika Hoss, MD, Senior Associate Consultant, Mayo Clinic, Scottsdale, AZ. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. 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