Perioral Dermatitis Treatment
at Mosaic Dermatology in West Fargo
At Mosaic Dermatology, we are experienced in the recognition and diagnosis of perioral dermatitis, a facial skin condition that causes small, red bumps and patches primarily around the mouth, and sometimes near the nose and eyes. This rash can be accompanied by itching, burning, and discomfort, and may become persistent if not treated appropriately. Our personalized treatment plans help patients achieve clearer skin and prevent recurrence.
What Is Perioral Dermatitis?
Perioral dermatitis is a facial rash that appears as clusters of red, inflamed bumps, often with dry, flaky skin. Unlike acne, these bumps usually do not contain pus and can sometimes be mistaken for other skin conditions. Overuse of topical steroid creams and other facial irritants are classic triggers for this condition. Without appropriate treatment, perioral dermatitis can persist for months.
Causes and Risk Factors for Perioral Dermatitis
The exact cause of perioral dermatitis is unknown, but common contributing factors include:
- Topical corticosteroid overuse: The leading cause; discontinuation can initially worsen the rash before it improves.
- Facial irritants: Heavy moisturizers, cosmetics, and certain fluoridated toothpaste.
- Hormonal changes: Often seen in women between the ages of 20–45.
- Sun exposure: UV rays can aggravate the condition.
- Bacterial or fungal infections: Occasionally, these can contribute to the rash.
- Use of nasal sprays or inhalers containing corticosteroids.
Symptoms of Perioral Dermatitis
Perioral dermatitis typically presents with:
- Red, inflamed bumps (papules) around the mouth, nose, and sometimes the eyes.
- Dry, scaly, or flaky patches of skin.
- Itching, burning, or stinging sensations.
- Clear zones of unaffected skin immediately adjacent to the lips.
- Worsening of the rash with topical steroids or irritants.
Perioral Dermatitis Treatment Options
At Mosaic Dermatology, we offer customized treatment plans based on the severity of symptoms and individual triggers.
Lifestyle and Skincare Adjustments
- Discontinuation of topical steroids: Under medical supervision, as symptoms may temporarily worsen.
- Gentle skincare routines: Fragrance-free, non-comedogenic cleansers and moisturizers.
- Avoiding irritants: Including heavy creams, fluoridated toothpaste, and harsh skincare products.
Medical Treatments
- Topical antibiotics: Such as metronidazole or clindamycin to reduce inflammation.
- Topical anti-inflammatory agents: Like pimecrolimus or azelaic acid.
- Oral antibiotics: For moderate to severe cases, tetracycline, doxycycline, or minocycline may be prescribed.
- Elimination of triggering medications: Adjusting inhalers or nasal sprays under medical guidance.
Managing and Preventing Perioral Dematitis
Long-term management focuses on identifying and avoiding triggers:
- Sun protection: Regular use of broad-spectrum sunscreen.
- Simplified skincare routines: Minimalist approaches to reduce irritation.
- Patient education: Understanding the risks of topical steroid overuse.
- Stress management: As stress can exacerbate skin conditions.
When to See a Dermatologist
Consult a dermatologist if you:
- Experience a persistent facial rash that does not improve with over-the-counter treatments.
- Notice red, bumpy rashes around the mouth, nose, or eyes.
- Have a rash that worsens after steroid cream use.
- Feel discomfort, burning, or itching that interferes with daily life.
Expert Perioral Dermatitis Care in West Fargo
At Mosaic Dermatology, we are committed to providing expert care for perioral dermatitis. Our team offers advanced treatments and personalized skincare guidance to restore healthy, clear skin. Schedule an appointment today for an accurate diagnosis and an individualized treatment plan tailored to your needs.