The link between steroid medications and perioral dermatitis is well known, experts say.
family," Soleymani explains. Although it doesn't look like acne or rosacea, under a microscope, the way perioral dermatitis behaves is very similar to those other conditions, he says.
Treating perioral dermatitis often requires a course of oral antibiotics, as well as avoiding triggers and sticking to a sensitive skin-friendly routine, the AAD says. That's partly because the area of the nose that gets sprayed — the opening around the nostril — also tends to flare with perioral dermatitis. The other issue is that, if some of the medication drips down out of the nostril, it can get absorbed in the skin, which can also lead to a perioral dermatitis flare down the line.
But this is far less common than a scenario in which someone has perioral dermatitis first — maybe a very mild version they don’t even notice — and then develops a flare after using the steroid medication, Soleymani says.If you're prone to perioral dermatitis or other sensitive skin issues, you don't have to stop using your nasal allergy steroid sprays.
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