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- Pesky pink bumps around the mouth: it may not be acne
Pesky pink bumps around the mouth: it may not be acne
At a time when many people are relying more and more on videoconferencing such as Zoom and FaceTime to connect remotely with family, friends and colleagues, skin eruptions occurring on the face can be particularly troublesome. One of the common facial skin conditions we at SkinCare Physicians have been seeing more often in telemedicine visits recently has been perioral dermatitis.
What is perioral dermatitis?
As the name suggests, this rash frequently occurs around the mouth as well as the nose and can appear around the eyes. It most commonly affects women and children. Perioral dermatitis can range from scattered pink bumps that may be smooth or scaly, fluid or pus filled. These bumps can also coalesce into larger red patches. The eruption can feel itchy, sore or be asymptomatic. Because the presentation varies, perioral dermatitis can be misdiagnosed as other conditions such as acne or eczema.
What causes perioral dermatitis?
Despite its prevalence, the exact cause of perioral dermatitis remains unknown. It is believed to be a type of inflammatory reaction and is often associated with topical steroid use. Steroids should be discontinued and avoided since they can exacerbate the rash. Sometimes, a skin product such as a new makeup or moisturizer can precipitate an outbreak. Because of the propensity to involve the lip area, toothpaste containing fluoride or sodium laurel sulfate has also been implicated as a cause. Recently, reports of a rise in perioral dermatitis cases, coinciding with more widespread mask use, have raised questions about whether masks or chronic occlusion from prolonged face coverage may be contributing to flares.
How do you treat perioral dermatitis?
In many cases, the trigger may not be readily identified. Fortunately, perioral dermatitis responds well to treatment. Topical therapies including clindamycin, erythromycin or metronidazole are often prescribed. Topical immunomodulators such as pimecrolimus or tacrolimus are also effective. In some cases, a combination of a topical agent along with an oral antibiotic may be required.
If you have a chronic rash around your mouth or nose, it may be time to see a dermatologist. Our SkinCare Physicians providers can help to diagnose your skin condition via a telemedicine visit. Schedule one now.
I’ve been dealing with this cycle for three years. Under nose and around mouth. When the flare up occurs, I also get sporadic bumps on my scalp. No antibiotic creams have helped (metronidazole). I’ve been on doxy for 6 months— which cleared it up. One month after stopping the doxy, it started to come back. I’ve been through this doxy cycle 4 times now over the past 3 years. Now I’m back on doxy and am scared it will never clear up unless I’m forever taking the antibiotic.
I’ve cleared up my entire routine. Dental face wash and moisturizer. I never wear makeup now. I’ve tried changing my toothpaste. I don’t use topical steroids. I’m very confident it is not something that I’m applying that is irritating my skin. I also have a VERY clean diet.
Do people generally grow out of this?
What could be the cause? Something internal?
Do people live with this their whole life?
Is it safe to take doxy for 3 years straight?
Does someone have a success story?
Perioral dermatitis can be very stubborn and often recurs. In many cases, there is no identifiable cause. Sometimes longer courses of antibiotics are required. I recommend following up with your dermatologist for further evaluation. There are alternative oral therapies that can also be considered.
When I use erythromycin, it clears the rash. It always comes back though and I don’t want to take an antibiotic forever. What can I do?
Perioral dermatitis can be very stubborn and often recurs. You may want to follow up with your dermatologist and they may prescribe non-antibiotic alternative treatments.
Is there anything over the counter that can help? Or only prescribed?
This kind of rash usually requires a prescription medication if it doesn’t spontaneously resolve.
I recently got this and have been on antibiotics for 10 weeks and it’s improved but it’s still very pink what do you think the cause is?
It is often difficult to determine the precise cause of perioral dermatitis. I would suggest you follow up with the provider who initially evaluated and prescribed treatment for you.
Hi, my mom suffers from a skin disorder that’s only in her face, it’s around her mouth, nose, cheeks and eye area. She’s been on an antibiotic called doxycycline for 2weeks but no actual difference
It may take longer to see a response. If there is no improvement after another 1-2 weeks, she should follow up with her dermatologist.