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Perioral dermatitis is a commonly occurring skin condition that affects younger women and occasionally, men and children. It typically affects the area surrounding the mouth, such as the lips, chin, and around the nose and cheeks. Sometimes it may extend to the area around the eyes. Patients may notice red bumps, peeling, mild itching, and burning, and many patients self-diagnose the condition as acne.
HOW LONG DOES IT LAST?
If perioral dermatitis is not treated it can last for months and is some cases years. With treatment, the condition may recur several times, but usually the disorder does not return after successful treatment.
Causes of Perioral Dermatitis
There is no direct determination as to what causes this condition, but many dermatologists have ideas. They believe that this is a type of rosacea which is worsened by exposure to the sun, or that it is related to seborrheic dermatitis. It is believed to be controlled with treatments such as corticosteroid creams, but may return if treatment is ceased—sometimes even worse than before. Patients must also be aware of triggers such as sun exposure, changes in hormones, and stress.
Can Perioral Dermatitis be prevented?
It is not believed that this condition can be prevented. Patients should avoid applying strong corticosteroid creams on the face and may advise against anything that contains fluoride such as toothpastes. These may cause flare-ups.
How is Perioral Dermatitis diagnosed?
In most cases, a trained dermatologist can make an accurate diagnosis with a physical examination of the skin. However, sometimes blood tests and skin biopsies may be done to eliminate the possibility of other present conditions.
How is this treated?
For perioral dermatitis, oral antibiotics including tetracycline may be prescribed for several months to control the condition. Mild cases may benefit from topical creams with antibiotics, such as Metrocream or Noritate. Most patients who undergo oral antibiotics through their dermatologist may notice improvement within a few months of starting treatment, and can use topical treatments to control possible flare-ups.
We put academic qualifications, many years of combined experience, and training in a variety of special interest areas to work for your healthy, radiant skin. Our providers – Drs. Schachter, Hanna, Curtis, Abdulla, Pollack, and Taradash – welcome new patients for treatment at the Dermatology on Bloor practice on Park Road in Toronto. Our team is here to serve your needs