Rosacea is a chronic inflammatory condition that usually appears between the ages of 30-50, although it can show up earlier in life. Over time, it typically gets worse but can have periods of remission too. We don’t know why people get rosacea. There seems to be a genetic component though, so it is common to see it running in families.
Another rash that is very common and often mistaken for acne or eczema is periorificial dermatitis. This rash does not tend to be chronic and eventually goes away, especially with treatment.
Typical Perioral Dermatitis Symptoms:
Small pink bumps that almost look like pimples around the corners of the mouth, nose or eyes
Seen in both children and adults
Often people will first try to apply topical steroids to periorificial dermatitis and during the first few days, and it seems to work. Then the steroid makes it worse. Because of this, topical steroids are not recommended for the treatment of periorificial dermatitis.
Perioral Dermatitis Treatments:
Very similar to treatments for papulopustular rosacea
Topical antibiotics like clindamycin lotion
For severe cases, high-dose oral antibiotics such as doxycycline or minocycline may need to be used for 4-6 weeks
For children: similar to the above recommendations. If they are over the age of 8 years old they may even be candidates for oral antibiotics