Perioral dermatitis is usually characterized by an uncomfortable burning sensation around the mouth. Itching is not a common symptom.
In most cases, bumps (papules) and fluid- or pus-filled bumps (vesicopustules) are seen around the mouth. Rarely, a similar rash may appear around the eyes, nose, or forehead. The rash appears very similar to acne.
Usually, patients are most concerned with the cosmetic appearance of the bumps.
Your physician will likely diagnose perioral dermatitis based upon the appearance of your skin. A test for bacteria may sometimes be needed to eliminate the possibility of infection.