Perioral

Dermatitis Treatment

Perioral dermatitis is a facial rash that typically appears around the mouth, eyes, and sometimes the nose. Red, bumpy lesions characterize it and can cause discomfort and itching. In some cases, the condition may progress to more severe forms, and proper skincare practices, avoidance of certain triggers, and medical intervention may be necessary for management.

Perioral dermatitis symptoms include the development of red, bumpy lesions around the mouth, eyes, and nose. Common indications of this condition involve:

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Redness and inflammation

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Itching and discomfort

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Small, pimplelike bumps

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Lesions clustering around the oral and ocular areas

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Potential for the rash to spread to the cheeks

Factors such as the use of topical steroids, hormonal changes, and certain skincare products may contribute. Additionally, fluoride-containing toothpaste and hormonal fluctuations in women are associated with an increased risk. The condition is thought to result from the complex interplay of these factors, leading to inflammatory skin reactions.

Diagnosing perioral dermatitis involves a visual examination by a healthcare professional. The distinctive rash appearance, along with a review of the individual's medical history, may contribute to the diagnosis. In some cases, a skin biopsy may be performed to rule out other skin conditions or infections.

The treatment of perioral dermatitis typically involves discontinuing the use of topical steroids and certain skincare products. Physicians may prescribe oral antibiotics to address the inflammatory response. Topical treatments with metronidazole or calcineurin inhibitors may also be recommended. Avoidance of triggers and adherence to a gentle skincare routine are crucial components of the management plan.

Ongoing management of perioral dermatitis involves consistent adherence to prescribed medications, gentle skincare practices, and vigilance regarding potential triggers. Individuals are advised to avoid using topical steroids on the affected areas and to maintain a regular skincare routine that includes mild cleansers and non-comedogenic moisturizers.

Preventing perioral dermatitis involves identifying and avoiding potential triggers, such as topical steroids or irritating skincare products. Using fluoride-free toothpaste and adopting a gentle skincare routine can also contribute to preventing flare-ups. Regular check-ins with a dermatologist for monitoring and adjustments to the management plan may be recommended for long-term prevention.

Call-On-Doc prescribes multiple oral and topical medications that allow for effective perioral dermatitis treatment, with the most common, including: 

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Minocycline 

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Doxycycline

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Metronidazole gel 

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Erythromycin

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Enter patient information and medical history as well as answer questions relating to your symptoms. This should only take about five or ten minutes.

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Our providers will review your visit

Our board-certified medical providers will create a custom treatment plan based on your condition and medical history. You can follow your treatment status with our consultation tracker any time after your visit has been submitted, this is located in your patient dashboard.

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Get Rx delivered to your pharmacy or doorstep

Pick up your prescription at your pharmacy of choice within 1-2 hours.  After you receive your treatment plan, connect with your pharmacy to see when they will have your Rx fulfilled. For some medications we offer home delivery options for your convenience.

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FAQ

Perioral dermatitis is a facial rash that develops around the mouth, eyes, and nose. It can occur in one, two, or all three of these areas. It is characterized by small, red, and bumpy papules and pustules.

The exact cause is not well understood, but it's believed to be related to the use of topical steroids, such as those found in certain creams and ointments. Other factors may include hormonal changes, oral contraceptives, and fluoridated toothpaste.

Diagnosis is typically made based on the appearance of the rash and a review of your medical history. Rarely, a skin biopsy may be performed to rule out other skin conditions.

Avoiding the use of topical steroids on the face is a key preventive measure. Using a gentle facial cleanser and avoiding excessive use of heavy moisturizers may also help prevent flare-ups.

Treatment often involves discontinuing the use of topical steroids. Your dermatologist may prescribe topical and/or oral antibiotics or non-steroid anti-inflammatory medications to reduce inflammation and control the rash.

The duration of treatment varies for each individual, but improvement is usually seen within a few weeks. On occasion, complete resolution may take a few months. It's important to complete the entire course of prescribed medications to prevent recurrence.

Yes, there is a chance of recurrence. It's crucial to follow your dermatologist's recommendations, avoid triggers, and maintain good skincare practices to minimize the risk of the rash coming back.

Your dermatologist will provide guidance on suitable skincare products. In general, using mild, fragrance-free cleansers and moisturizers may be recommended. Avoiding harsh products and those containing steroids is important.

No, perioral dermatitis is not contagious. It is a skin condition with various contributing factors, but it does not spread from person to person through direct contact.

frequently asked questions