What does perioral dermatitis mean?

What does it look and feel like?

The typical pattern is many small bumps concentrated around the mouth. The skin can also burn or itch. A persistent breakout in this area is a reason to check the diagnosis rather than assume it is stubborn acne.1

Can it happen around the eyes or nose?

Sometimes the breakout develops around the eyes or nose instead of the mouth. Around the eyes, it is called periorbital dermatitis; around the nose, it is called perinasal dermatitis, which suggests the naming committee brought a map. The location changes the name, which is a surprising amount of paperwork for a change of address.1

Who gets perioral dermatitis?

Perioral dermatitis usually develops in young and middle aged women. Children can develop it too, so age alone does not rule it out.12

Does dermatitis mean eczema?

Perioral dermatitis is classified separately from atopic eczema and contact dermatitis. The word 'dermatitis' appears in several different diagnoses, which makes it about as specific as a folder labelled 'Documents'. The full diagnosis matters when choosing treatment.3

What should you do about it?

Book a dermatologist appointment if a persistent breakout around your mouth resembles this pattern. A dermatologist can distinguish perioral dermatitis from acne and create a treatment plan. Perioral dermatitis is treatable, and treatment is recommended: without it, the condition can last for months or years.1

Do not assume an eczema medicine is suitable for this rash. If you have perioral dermatitis, tell your doctor or pharmacist before using betamethasone skin treatments, including Betnovate or Betacap, because betamethasone may not be suitable. If you already use it, ask the prescriber how to manage it rather than deciding on a treatment change yourself.4