Home » Skin Blog » Skin Knowledge and Problems » Exploring the Causes and Remedies of Perioral Dermatitis

In recent years, many people have faced the challenge of perioral dermatitis. Although this condition is often mistakenly believed to be acne or eczema, its medical name is “perioral dermatitis,” which refers to inflammation of the skin around the mouth. So, what are the causes of this condition, and how should we respond?

The characteristics of perioral dermatitis mainly include redness and swelling around the lips, itching, and in some cases, the appearance of small patches of peeling skin or white pus-filled bumps. Sometimes, these symptoms can extend to the areas around the nose or eyes. Many people often seek medications or skincare products to relieve discomfort during this time, only to find that the results are not as expected and may even worsen.

With the widespread use of masks during the pandemic, many individuals have begun experiencing abnormalities in the skin around their mouths. Some may choose to apply steroid creams to address the issue. While steroids can indeed quickly alleviate inflammatory symptoms in the short term, relying on them long-term may lead to more severe skin problems. This vicious cycle may result in persistent and recurrent symptoms around the mouth.

One of the common causes of perioral dermatitis is the excessive use of steroids. Prolonged use of steroids can damage the skin barrier function, making the skin around the mouth more susceptible to irritation. Whether due to a hot environment or prolonged steroid use, these factors can exacerbate the condition of the skin around the mouth.

In addition to steroid use, it’s essential to be cautious when selecting toothpaste. Some fluoride-containing toothpaste on the market may be related to skin issues around the mouth, so it is recommended to choose fluoride-free dental products. Furthermore, when selecting skincare products, avoid heavy moisturizers and sunscreens, as these may aggravate the symptoms of perioral dermatitis. Using lightweight makeup base products is a less irritating choice.

So, how long does it take for perioral dermatitis to improve? In fact, if the triggering factors can be identified and removed, symptoms may improve within a few weeks. However, for some patients, the condition may persist for months or even longer, especially in those who have relied on steroids for an extended period. Some individuals may struggle with this issue for over ten years.

Scientific research has found that the microbial environment of the skin around the mouth may change due to excessive moisturizing or steroid use, contributing to perioral dermatitis. In daily care, we should pay more attention to the effects on the skin and consult a doctor when necessary. Common treatment options for perioral dermatitis include topical antibiotics, such as metronidazole, or for oily skin, considering retinoids to reduce inflammation.

Although perioral dermatitis may seem like a minor issue, it can significantly impact daily life. Correct skincare and timely medical consultation are key to solving the problem. If you notice similar symptoms, it is advisable to seek timely help from a doctor and not to self-medicate casually, especially regarding steroid use. Let us work together to maintain healthy skin and stay free from troubles.