Red rash around the mouth (perioral dermatitis)

Perioral dermatitis causes the skin around your mouth to become inflamed with redness and rashes that look like pimples. It can be a reaction to certain face creams or long time use of steroid creams. Perioral dermatitis can be a long-term illness and can re-occur after treatment.

The main symptom of this condition is a red (in fairer skin) or darker (in colored skin) rash around the mouth. The rash may be itchy, flaky or dry.

You will have:

• Redness or darker skin around your mouth.
• Peeling of the skin around your mouth.
• Rashes filled with pus.
• Itching of the affected area.

Perioral dermatitis can be caused by:

• Steroid creams.
• Steroid nasal sprays.
• Harsh or heavy creams bleaching creams.
• Reaction to make-up or harsh soaps.

You are more at risk of perioral dermatitis if you:

• Are female between 20-45 years.
• Use steroid creams or nasal sprays.
• Have allergies.
• Are using hormonal contraceptive pills.
• Use toothpaste that contains fluoride.
• Use harsh make-up and face cleansers.
• Are having medical conditions whereby you drool saliva a lot.

You should visit your doctor if you develop any rashes around your mouth.

• Avoid using steroid creams for longer than two weeks.
• Avoid using bleaching creams, soaps, or make-up once you notice any skin reactions.
• Stress can make your immune cells recognize common substances as dangerous. Manage your stress by eating a balanced diet (including plenty of fruits and vegetables), drinking lots of water and remaining physically active.

Self-care tips:

• Avoid scrubbing your skin.
• Get rid of steroid creams or nasal sprays.
• Stop using cosmetics, creams and products that contain fragrances. Coconut oil, shea butter or petroleum jelly are usually free of added fragrance and less likely to worsen your rash.
• Avoid eating hot and spicy foods that can come in contact with the skin around your mouth.
• Wear cotton clothing that covers your hands and feet.

Treatment options:

• Your healthcare provider will usually recommend one or more medicines to relieve the symptoms of this condition.
• Your healthcare provider may recommend medication to stop your body from itching or reacting to things in your environment.

Perioral dermatitis may be uncomfortable because of the location and the itching. Once treatment starts, it may get worse before it gets better. You should avoid any triggers and work with your healthcare provider to find long-lasting solutions.