Perioral Dermatitis

What is Perioral Dermatitis?

Periorificial dermatitis is a common facial skin problem characterised by groups of itchy or tender small red papules. It is given this name because the papules occur around the eyes, the nostrils, the mouth and occasionally, the genitals.

The more restrictive term, perioral dermatitis, is often used when the eruption is confined to the skin in the lower half of the face, particularly around the mouth. Periocular dermatitis may be used to describe the rash affecting the eyelids.



Who gets periorificial dermatitis?

Periorificial dermatitis and its variants mainly affect adult women aged 15 to 45 years. It is less common in men. It may affect children of any age.

People with periorificial dermatitis are often using opical or inhaled corticosteroids.

The cause of periorificial or periorificial dermatitis

  • Epidermal barrier dysfunction
  • Activation of the innate immune system
  • Altered cutaneous microflora
  • Follicular fusiform bacteria
  • Unlike seborrhoeic dermatitis, which can affect similar areas of the face, malassezia yeasts are not involved in periorificial dermatitis.
  • Periorificial dermatitis may be induced by:
  • Topical steroids, whether applied deliberately to facial skin or inadvertently
  • Nasal steroids, steroid inhalers, and oral steroids
  • Cosmetic creams, make-ups and sunscreens
  • Fluorinated toothpaste
  • Neglecting to wash the face
  • Hormonal changes and/or oral contraceptives

Acupuncture & Perioral Dermatitis

  • Acupuncture helps balance the body’s energies to regulate disease and herbal medicine works on the physical body from the inside out.
  • Herbs are used to in two ways, one for oral taken which can remove the herat, dampness and toxin in the body,while the other one is used for washing the skin lesion
  • Apply the herbal cream on the skin
  • Modify lifestyle behaviors and dietary factors