Perioral Dermatitis Explained

Perioral (periorificial) dermatitis is a red rash that circles your mouth. Your skin can be scaly, dry and flaky with swollen, inflamed bumps called papules...Perioral dermatitis can look like acne and is often mistaken for it.

- Cleveland Clinic

Perioral Dermatitis (PD) can easily be confused with other skin conditions such as acne, eczema, Rosacea or even a condition called Lip Licker’s Dermatitis. But there are still some clear signs when PD is present.

Signs of Perioral Dermatitis

  • Red, flaky inflammed skin mainly around the lips and chin but also around the eyes 
  • The skin can appear as having acne lesions then develop a dry, flakey layer of skin over top
  • Clear fluid discharge from the lesions
  • The skin can be slightly itchy or tingly

Causes of Perioral Dermatitis

There are many factors that could contribute to the occurrence of perioral dermatitis. Some of the common causes that are known to be linked with PD include:

  • Imbalanced gut bacteria (eg. Candida albicans)
  • Oral or topical corticosteroids*
  • Fluoride or anti-tartar toothpaste
  • Costmetics or moisturizers
  • Certain sunscreens
  • Dental fillings
  • Chewing gum (the coating)
  • Hormonal (eg. Pregnancy, birth control pills or PMS)

Not only could the above play a role but also environmental and lifestyle factors are something to consider. 

Conventional Treatment Options

Common treatment options will include a round of antibiotics as the fastest resolution and/or topical non-steroidal creams. Although it is important to note that steroid creams should be avoided as they can make the condition worse.

Natural Treatment Options

With Perioral Dermatitis being a multifaceted condition, the long term solution requires a holistic approach that covers 4 main pillars:

  • Gut Health – rebalancing gut bacteria to optimal levels
  • Hormone Health – rebalancing blood sugars and cortisol levels
  • Lifestyle – addressing stress, sleep habits and environmental toxins
  • Nutrition – supporting the body’s foundation with nourishing, anti-inflammatory foods

By addressing these other factors outside of topical treatments and antibiotics, we are able to address the skin from a whole body perspective. When the skin is showing symptoms of irritation and inflammation, that is often a sign that there is something deeper that needs to be rebalanced on the whole. It is important to note that the holistic approach will take several months as the body needs time to rebalance and recover for long-term effects. 

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Picture of Caroline Chow, R.H.N., C.N.E.

Caroline Chow, R.H.N., C.N.E.

Caroline is a Registered Holistic Nutritionist that was once in your shoes. She has struggled with eczema and a severe case of perioral dermatitis. She used to feel so hopeless and defeated - like her body was working against her.

Until she began learning about nutrition and the importance of viewing food as nourishment in supporting your skin health. She completely turned things around and now she is passionate about helping women find clear skin through diet so that they can swap the topical creams and makeup for a permanent solution to healthy, glowing skin!

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