Periorificial Patient Information - what you need to know

What is periorificial dermatitis?

Periorificial dermatitis or perioral dermatitis is a skin condition that causes red, itchy bumps and pimples to form around the mouth, nose, and eyes. It can feel like the skin is burning or stinging. It is common for this condition to develop quickly, and can be very distressing. 

What causes periorificial dermatitis?

People who develop periorificial dermatitis tend to have sensitive skin. The exact cause of periorificial dermatitis is not known. It is thought that when the skin barrier function is not working properly, these common triggers may cause a reaction that leads to periorificial dermatitis. Here is a list of common triggers:

• Strong topical steroids

• This is a big one! Make sure that if you are prescribed a topical steroid for your face that you don’t have periorificial dermatitis first.

• Skin care products that are ‘anti-ageing’ or ‘exfoliating’

• That’s because these rely on acids or retinols to strip away the top layer of the skin. This is great for most people, but in someone with sensitive skin, it can cause periorificial dermatitis. 

• Hormones

• Sudden changes in hormones such as with pregnancy or menopause can also trigger periorificial dermatitis. Some unlucky people can even have it flare with the different stages of their period. 

• Masks

• Maskne may actually be periorificial dermatitis.

How is periorificial dermatitis treated?

The great news is that periorificial dermatitis can be treated. Some simple changes you can make at home are:

1. Avoid using any strong topical steroids on your face

2. Simplify your skin care regime - put away the toners, exfoliators and anti-ageing serums

3. Use gentle non-irritating skincare products

4. Let your face breathe - put your mask away whenever you can

If these changes have not worked for you, then you may need medicated treatments. These include:

• Azelaic acid - this is a natural medicated treatment that can be effective for mild periorificial dermatitis

• Antibiotics - periorificial dermatitis is not an infection, however certain antibiotics such as clindamycin, doxycycline, erythromycin, or minocycline are very effective at reducing the inflammation

• Non-steroid anti-inflammatories - your skin may be addicted to the topical steroid and can often get worse when you try to stop the steroid. To help your skin break the addiction, you may need a steroid free alternative such as tacrolimus

Periorificial dermatitis may take several weeks or months to clear up completely. It's important to follow your dermatologist's treatment plan and avoid scratching or picking at the affected area, as this can worsen symptoms.

When should I see a dermatologist?

If you have symptoms of periorificial dermatitis, such as red, itchy bumps around the mouth, nose, or eyes, it's important to see a dermatologist for an accurate diagnosis and appropriate treatment. 

Remember, with proper treatment and care, periorificial dermatitis can be managed effectively, and your skin can look and feel healthy again.