Treatments for itchy, red spots on the chin or around the mouth may include topical antibiotics, immunomodulating creams and anti-acne creams. Topical medications used in treating perioral rashes include benzoyl peroxide, metronidazole and erythromycin, as well as tacrolimus, pimecrolimus and clindamycin, according to MedlinePlus. Oral antibiotics may be prescribed for severe cases.
Perioral dermatitis is a skin condition in which red rashes develop in areas near the mouth and chin, as stated by WebMD. The exact cause of perioral dermatitis is unknown; however, it is linked to the facial application of topical steroid creams. Ninety percent of individuals who suffer from perioral dermatitis are women, as of July 2012.
Rashes in perioral dermatitis are slightly bumpy or scaly, as reported by the American Osteopathic College of Dermatology. The rashes may be filled with pus or fluid and are often mistaken for acne. Rashes occasionally spread to the eyes and around the nose. Patients may also experience a burning sensation around the mouth.
Diagnosis of perioral dermatitis is usually based on the skin’s appearance. Treatment of perioral dermatitis can take several months, according to MedlinePlus. Recurrence of the rashes is also possible. Individuals who have perioral dermatitis should avoid using facial creams and medications that contain steroids, unless directed by their doctor.