General Description

Perioral dermatitis is a facial condition that primarily affects women in the twenty- to forty-year age group. Over the past decade, the problem has become increasingly more common.

The development of tiny red pimples and pustules, as well as dryness and scaling around the mouth and on the chin, characterizes perioral dermatitis. Occasional burning or itching may be experienced.

Causes

The underlying cause of perioral dermatitis often cannot be ascertained. Some cases are related to prolonged use of topical steroid creams while others may be triggered by sensitivity to cosmetics or fluorinated toothpaste.  

Medical Treatments

Perioral dermatitis may last from several weeks to many years. The condition waxes and wanes in intensity, and premenstrual worsening is common. The use of high-potency steroid creams will either cause or exacerbate this facial rash, and such use must be immediately discontinued. Medications containing sulfur (Avar, Klaron, Plexion, Rosanil, Rosula, and Sulfacet-R) often afford adequate control, although some cases may require oral antibiotic therapy.