In perioral dermatitis, small raised bumps can merge together to form larger red, elevated lesions. Pink or red elevations of the skin occur near and around the mouth in perioral dermatitis. This image displays an affected eye region typical to perioral dermatitis. In perioral (around the mouth) dermatitis, bumps can extend onto the cheeks. This image displays numerous tiny, pus-filled lesions around the mouth and nose. This image displays small pink-brown bumps and pus-filled lesions around the mouth typical of dermatitis.
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Perioral Dermatitis  Information for adults

Picture of Perioral Dermatitis: In perioral dermatitis, small raised bumps can merge together to form larger red, elevated lesions. Divider line
In perioral dermatitis, small raised bumps can merge together to form larger red, elevated lesions.
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Overview
Perioral dermatitis is an acne-like condition of unknown cause. Some possible causes are the use of topical corticosteroid creams, cosmetic products, oral contraceptives, fluoride and anti-tartar ingredients in dental products, and it tends to occur in those prone to eczema.
Who's At Risk
It is usually seen in women ages 16–45, but men can be affected as well. Children may also be affected (ages 7 months to 13 years). It is more common in developed countries.
Signs and Symptoms
Small red bumps or tiny pus-filled lesions (pustules) appear around the mouth, often with a clear area between the lip and the rash. The bumps may also occur near the eyes and nose. There may also be dry or flaky skin in these areas.
Self-Care Guidelines
  • Stop all face creams, lotions, cosmetics, and sunscreens being used.
  • Stop any dental products with fluoride and anti-tartar ingredients until the rash has resolved, and then try a different dental product.
  • Wash with warm water alone until the rash improves, and then use a soap substitute to clean your face.
When to Seek Medical Care
If the self-care measures are not helping after 4–6 weeks, seek medical advice.
Treatments Your Physician May Prescribe
Taking oral or topical antibiotics for a few weeks may provide effective treatment. Azelaic acid is a topical product that may be prescribed. Sometimes the condition recurs after treatment is stopped, but the same therapy may be repeated as needed.



References

Bolognia, Jean L., ed. Dermatology, pp.1414. New York: Mosby, 2003.

Freedberg, Irwin M., ed. Fitzpatrick's Dermatology in General Medicine. 6th ed, pp.697-698. New York: McGraw-Hill, 2003.
Last Updated: 22 Dec 2008