Under Nose/Upper Lip Rash

My son developed what I thought was a rash on his upper lip and around his nostrils. We thought at first it was because of his runny nose...that area was just raw or aggravated. It seems to be getting better in some spots and worse in others. We also thought it was just him...but now our other son is getting it on his nose and lip. He does have a runny nose too but the it just seems questionable since they both have had allergies and colds before and this hasn't happened. Thanks so much for any advice/education!!

[BhumikaMD]

Hi,

This could be perioral dermatitis. Perioral dermatitis, a condition related to acne vulgaris, consists of red papules that may appear microvesicular that typically affect the nasolabial folds, perioral area or perioccular area.

It is commonly caused by the use of fluorinated topical glucocorticoid steroids to this area.

It is treated in a similar manner to acne vulgaris with tetracycline antibiotics or erythromycin but, without the use of topical steroids.

Recently, photodynamic therapy (PDT) has been reported to be helpful, although large studies have not yet been performed.

Roaccutane has been used in patients with severe perioral dermatitis with some benefit. Do consult with a dermatologist regularly.

Let us know if you need any other information.

Regards.