What is Perioral Dermatitis?

Perioral dermatitis is an inflammatory skin disease that mainly occurs on the upper lip, palate, nasolabial folds, and nose, with erythema, pimples, and scales as the main manifestations. Periorbital dermatitis occurs around the orbit.

Basic Information

English name

perioral dermatitis

Visiting department

dermatology

Multiple groups

Women between 23 and 35

Common locations

Upper lip, palate, nasolabial fold, nose, etc.

Common causes

The cause is not completely clear, it may be an independent disease, or it may be a response caused by multiple stimuli

Common symptoms

Erythema, pimples, scales on the upper lip, palate, nasolabial folds, nose, etc., mild to moderate itching and burning

Causes of Perioral Dermatitis

The cause is not completely clear, it may be an independent disease, or it may be a response caused by multiple stimuli. Intensive studies have reported that dermatitis that occurs in the peri-orbital and its adjacent skin with the same symptoms as peri-oral dermatitis. All local topical fluorocorticosteroids were used topically for up to a year before the onset. It has also been speculated to be related to the application of fluoride toothpaste or demodex.

Perioral dermatitis clinical manifestations

More than 90% of this disease is female, and the age is generally between 23 and 35 years old. The skin lesions are scattered papules and papules with a size of 1 to 2 mm. Basal redness or fusion into a slice. Also seen scattered hillock impetigo, with mild scales. Often symmetrical, the area of skin around 5 mm wide between the lesion and the rim of the lips is not affected. The course of the disease is periodic and may be accompanied by mild to moderate itching and burning.

Perioral dermatitis examination

Histopathological examination, dermal papilla edema, vasodilation, inflammatory cell infiltration, and occasionally leukocyte fragmenting vasculitis.

Perioral dermatitis treatment

Remove or avoid the factors related to the occurrence of this disease, such as fluoride toothpaste, cosmetics and bubble gum. Stop taking birth control pills. In particular, it is important to discontinue high-efficiency glucocorticoid preparations. Tetracycline is taken orally 4 times a day. Some people also use hydrocortisone cream at the same time. If demodex mites are found, they can use topical benzoyl lotion.