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Dermatitis: Perioral Dermatitis
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Perioral Dermatitis is a rosacea-like eruption around the mouth area. Topical steroid use and fluoridated toothpaste are the most common culprits. Perioral dermatitis appears mainly in women between the ages of 15 and 40. It consists of small red papules or pustules without spider veins which characteristically circle the mouth area but does not affect the lips. There may ... be scaling.
Perioral dermatitis is a unique skin disorder of childhood. Its exact origin is unknown; it is probably an idiosyncratic response to exogenous factors such as the use of a topical fluorinated corticosteroid or other substances on the face. It is uncommon but not rare. The age of affected children has ranged from 7 months to 13 years, with the median being in the prepubertal period. Boys and girls, blacks and whites are equally affected. Clinical features include the following: (1) absence of systemic symptoms; (2) periorificial distribution (perioral, perinasal, periorbital); (3) skin lesions that consist of flesh colored or erythematous inflammed papules, micronodules, and rare pustules; and (4) variable pruritus.
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The exact cause of the condition known as perioral dermatitis is not known, but it mostly affects women between the ages of 20 and 50. In addition to redness, there are usually small red bumps and mild peeling. Sometimes there is mild itching and/or burning. The areas most affected are within the borders of the lines from the nose to the sides of the lips, and the chin. Occasionally, the areas around the nose, eyes, and cheeks can be affected.
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Perioral dermatitis is a skin disorder characterized by tiny red papules (bumps) around the mouth. Reviewer: Michael S. Lehrer, M.D., Department of Dermatology, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.Date: 05/03/2006
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Perioral dermatitis may be a form of the skin disorder rosacea, adult acne or seborrheic dermatitis, involving the skin around the mouth or nose. The exact cause is unknown, but makeup, moisturizers, topical corticosteroids or some dental products containing fluoride may play a role.
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Perioral Dermatitis