Perioral Dermatitis: Symptoms, Identification and Recommended Treatments

Perioral dermatitis, abbreviated as PD, is a chronic skin condition that presents with small red bumps, pustules and irritation primarily around the mouth, nose or eyes. According to Dr. Aiza Jamil, a consultant dermatologist, these bumps are uniform in size and centered in those areas, unlike acne which appears more scattered and varies in size.

Misdiagnosis as acne is common due to similar symptoms. To identify perioral dermatitis, individuals should look for the specific location and uniformity of the bumps. Dr. Sharon Wong, a consultant dermatologist and co-founder of Dose, advises stopping the use of topical steroids and heavy creams immediately upon suspicion of PD.

Skincare routines should be simplified to include only a gentle cleanser, moisturizer and sunscreen with SPF.

mild cases, a simplified routine often resolves the condition without further intervention.

In moderate to severe cases or when the routine does not help, prescription treatments such as topical creams or oral antibiotics may be required. Emma North, a beauty editor who has experienced PD, reported that a streamlined routine combined with prescription azelaic acid and six weeks of oral doxycycline cleared her skin.

Flare-ups can occur when new products are introduced, necessitating a return to low-irritation staples.

North tested various products during a flare-up, focusing on those designed for sensitive skin without active ingredients, irritating preservatives or fragrances. The testing involved incorporating cleansers, moisturizers, serums and SPFs into her daily routine multiple times to assess safety and soothing effects.

The following products were identified as suitable for perioral dermatitis based on the testing: - Avène Cicalfate+ Restorative Protective Cream: Contains copper, zinc and thermal spring water; 100ml size; nourishing cream type.