What’s the best way to treat perioral dermatitis?

Here, Dr Ahmed shares her tips…

1. Avoid topical steroids. These may have been used in error if a diagnosis other than PD was being considered, they may have even helped initially, but long-term can make the problem worse).

2. Azelaic acid. This acts as an anti-inflammatory and helps to unclog pores.

3. Topical antibiotics. Commonly used ones are metronidazole, clindamycin and erythromycin (though the latter needs to be prescribed by your GP or dermatologist).

4. Oral antibiotics. Longer courses are typically required (three to six months or longer). These also need to be prescribed by your GP or dermatologist.

5. Other treatments include topical immunosuppressants, topical or low dose oral retinoids and photodynamic therapy.

6. Psychological treatment. Visible skin conditions can be psychologically devastating for some people, addressing the impact of perioral dermatitis on quality of life is equally as important as medical treatment.

Why do we get spots around our mouth?