Perioral dermatitis is a common skin problem that mainly affects young women between the ages of 25 and 40. Children between the ages of 7 months to 13 years can also be affected. In addition to redness, symptoms may include small red bumps or bumps filled with pus and peeling. The most affected areas are usually between the nose, on the sides of the lips. The areas around the nose, eyes, cheeks, and chin may also be affected. Occasionally, there is also mild itching or burning. It can look like clusters of pimples or acne.
Some factors discussed as possible culprits in perioral dermatitis include sodium lauryl sulfate (SLS) and ammonium lauryl sulfate (ALS). Sodium Lauryl Sulfate is an ingredient in soaps, shampoos, bubble baths, dish detergents and is what creates the suds and foam. Oral contraceptives can also be a factor. Perioral dermatitis can also be made worse by alcohol, spicy foods, and caffeine; anything that dilates blood vessels. Other suggested causes include sunlight, cosmetic products, and ingredients in certain foundations used by women. Some doctors believe it may possibly be caused by rosacea or dermatitis.
Helpful prevention and treatment tips include stopping the use of all lotions, cosmetics, and sunscreens until you check the ingredients. Please note that the sun can cause sensitivity and irritation. Wash only with lukewarm water to avoid irritation from the soap ingredients until further investigation.
Perioral dermatitis is difficult to treat and often requires several months of treatment. Recurrences are common, especially if topical steroids are applied to the face. Oral antibiotics are effective, and tetracycline is commonly used. Photodynamic therapy (PDT) has been reported to be helpful for perioral dermatitis, although this has not been proven. Remember that treatment for each person varies depending on the severity of the disease. It may take a month or two to see an improvement.
Eating dark green vegetables like kale, broccoli, asparagus, and spinach can help improve the condition by increasing capillary strength and boosting the immune system. These foods and others contain high levels of vitamins A and C, bioflavonoids, and beta-carotene as well. Deficiencies of omega-3 and omega-6 fatty acids can worsen perioral dermatitis. Omega-3 fatty acids can be found in flaxseed oil, cod liver oil, salmon, mackerel, and herring. The omega-6 fatty acid is found in evening primrose oil, sunflower oil, and sesame oil.
