Peri oral dermatitis and how to manage it.

The exact causes of perioral dermatitis remain somewhat elusive, but several factors are believed to contribute to its development. One prominent factor is the prolonged use of topical steroids, including those found in various skincare products. Additionally, the use of heavy face creams, or hormonal changes such as those occurring during pregnancy or with the use of oral contraceptives may play a role. There is also a potential link to a disrupted skin barrier function and the presence of certain microorganisms. While the precise trigger may vary among individuals, discontinuing the use of topical steroids and identifying and avoiding potential irritants are commonly recommended steps in managing and preventing perioral dermatitis outbreaks. Seeking guidance from a dermatologist is crucial for accurate diagnosis and tailored treatment plans.

Perioral dermatitis manifests with distinctive symptoms primarily affecting the facial region. Characterized by the appearance of small, red, and bumpy papules, these lesions typically cluster around the mouth, nose, and eyes. The rash may reveal a slightly raised or scaly texture, accompanied by mild itching or burning sensations. In some cases, the skin surrounding the lesions may appear dry or flaky. Importantly, perioral dermatitis tends to spare the skin bordering the lips, creating a characteristic “zone of sparing.” While the severity of symptoms can vary, individuals experiencing persistent or worsening skin issues in these facial areas should seek prompt evaluation by a dermatologist for accurate diagnosis and appropriate management.

The treatment of perioral dermatitis typically involves a multifaceted approach aimed at addressing both the underlying causes and alleviating symptoms. A crucial step often involves discontinuing the use of topical steroids, as their prolonged application can contribute to the development or exacerbation of the condition. We will recommend a gentle skincare routine, avoiding heavy moisturisers and opting for mild, fragrance-free products. Oral antibiotics, such as tetracycline or doxycycline, are commonly prescribed to effectively reduce inflammation and control the overgrowth of certain microorganisms associated with perioral dermatitis. In some cases, topical medications like metronidazole or clindamycin may be helpful. Patients are advised to maintain good facial hygiene, avoid triggers such as fluoride toothpastes, and be mindful of potential irritants. Regular follow-ups with our team at Oxona ensures proper monitoring of the condition’s progress and allow for adjustments to the treatment plan as needed for optimal results.