My poor son found out the hard way that now has the misfortune of living with perioral dermatitis, a common sign is when one start treatment on a steriod cream and the flare up become 10 worse. After many hours of reasearching I discovered floride, sodium lauryl sulfate and sodium laureth sulfate can sometime become a huge contributor to this type of dermititis I removed everyday products containing them, I also removed all food allergins from his diet. And put him on a 50mg of Vitamin B complex, primerose oil tablets 2x daily, and grapeseed oil tablets 2x daily - I also picked up a antifungal/antibactiral lotion from the healthfood store just to lubricate his face. We have been waiting 5 months just to see the dermatologist and today we finaly got into see him, and his face was so clear he didn't want to perscribe him anything, just told me to keep up the go work. I only wish I had taken pictures of his face in december, the poor little fellow wouldn't leave the house he was so embarassed, and today he just has a very small patch around his nose. I seriously hope this helps someone else! This doesn't cure it but it removed the symptoms as long as you continue the vitamins.