Small Bumps Around the Mouth: Perioral Dermatitis or Facial Eczema?
After a dance class, workout or busy shift, a rash around the mouth can feel like dry, sensitive skin. Perioral dermatitis is one possible cause. It can resemble acne or eczema, and the wrong assumption can lead to a cycle of trying more products without addressing the cause.
What does perioral mean?
The term describes a rash around the mouth. Similar bumps may appear around the nose or eyes, in which case a clinician may use the broader term periorificial dermatitis. The American Academy of Dermatology says the small bumps can look red on lighter skin or closer to skin color on skin of color. Dryness, flaking, burning or itching may occur, but symptoms vary.
A retrospective review of 79 children and adolescents described the condition across childhood ages. An observed group does not establish how common the condition is in all children or which treatment is right for a particular person.
| Situation | Next step |
|---|---|
| A recurring ring or cluster of bumps | Note where it appears, when it began, and all products or medicines applied to the area. |
| Using a topical steroid on the face | Tell the prescriber. Topical corticosteroid use is associated with this condition, and the prescriber can advise on any change. |
| A product stings or the rash worsens | Stop the suspected nonprescription product and seek advice; do not keep layering products in an attempt to cover the rash. |
| The rash is near the eyes or affects vision | Seek prompt clinical or eye-care advice, especially for pain, light sensitivity or vision changes. |
Keep a care plan individualized
Facial eczema, contact dermatitis, rosacea and perioral dermatitis are different conditions. Do not start, stop or change a prescribed steroid without discussing it with the prescriber. A dermatologist can review medicines, cleansers, cosmetics and habits and decide which treatment is appropriate.
Dr. Arsy #003 is a cosmetic moisturizer for ordinary dry skin, not a treatment for perioral dermatitis; ask a clinician whether any moisturizer is appropriate on the affected area. Explore our guides to facial skin and sports headgear and questions about prescribed topical steroids.
Dr. Arsy Hydration Recovery Moisturizer #003 is a fragrance-free cosmetic moisturizer for dry, sensitive and eczema-prone skin. Follow the label; it does not replace medical treatment.
Sources and further reading
- AAD: Perioral dermatitis.
- Study: Periorificial dermatitis in children and adolescents.
- Review: Diagnosis and management of perioral dermatitis.
Educational information from Dr. Arsy; not a diagnosis or individual medical advice. The researchers and organizations cited do not endorse Dr. Arsy products.