Perioral Dermatitis

I. Definition:
Perioral dermatitis is a rash composed of tiny red bumps that are
primarily around the mouth, but can also be seen around the nose and on other areas of the
face.
II. Causes:
- Perioral dermatitis is a disease that occurs mostly in young and
middle-aged women.
- Perioral dermatitis can be caused by prolonged therapy with topical corticosteroids (hydrocortisones).
- The contraceptive pill, cosmetic usage and
emotional stress can worsen perioral dermatitis.
- Toothpaste containing lauryl sulfate may cause perioral
dermatitis.
- The affected area is often worsened by sunlight and almost always by
wind, heat, chlorinated pool water and even by washing with hot water.
- If you have this condition, premenstrual flare ups are common.
III. Treatment:
- The first step in treating perioral dermatitis is to discontinue all
topical corticosteroids.
- Toothpaste without lauryl sulfate can be purchased from
Squigle, Inc. toll free at 877-718-0718.
- Oral tetracyclines four times a day
for about three weeks is a successful source of treatment. Minocin and doxycycline are also effective
treatments.
- There is no medicine that you can apply directly to the skin which will
help perioral dermatitis.
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