Periorificial Dermatitis

Periorificial (Perioral) Dermatitis

Overview

Periorificial dermatitis is an inflammatory skin condition that causes clusters of small, red, bumpy papules and pustules around the mouth, nose, and sometimes eyes. It is often triggered by topical corticosteroid use, heavy face creams, or fluorinated toothpaste.

Key Symptoms

• Small red papules and pustules around the mouth, nose, or eyes
• Characteristic sparing of the skin immediately around the lip border
• Mild burning, stinging, or itching sensation
• Dry, flaky skin in the affected areas
• May worsen with topical steroid use
• Can recur after treatment if triggers are not avoided

Affected Areas

Around the mouth, Around the nose, Around the eyes, Chin

Care Instructions

1. Discontinue all topical corticosteroids (may cause initial flare before improvement).
2. Use only gentle, fragrance-free cleansers and moisturizers.
3. See a dermatologist for prescription treatment (oral antibiotics or topical metronidazole).
4. Switch to a non-fluorinated toothpaste.
5. Avoid heavy face creams, makeup, and fragranced skin products.
6. Be patient — improvement may take several weeks of consistent treatment.

Medical Disclaimer: This information is for educational purposes only and does not replace professional medical advice. Always consult a qualified dermatologist for diagnosis and treatment.

Prevalence: Relatively common; predominantly affects women ages 20–45