Red Spots Around the Mouth: Causes and Treatments - Dermatology

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There are spots on both sides of the mouth?


Hello Dr.
Lin, about five days ago (on January 24), I noticed red spots appearing on both sides of my mouth, slightly below the corners.
They are irregularly shaped, approximately one centimeter in diameter.
After a few days, the redness disappeared, leaving behind darker spots that are peculiar, starting about 5mm below my lips.
There is no pain or hard lumps, and today there is a slight itch, but it is negligible.
I would like to ask what this condition might be.
Thank you.

Mr. Hai, 10~19 year old female. Ask Date: 2014/01/30

Dr. Lin Xinpeng reply Dermatology


Hello: Based on your description, it is difficult to determine the initial type of lesion.
The most likely possibility is post-inflammatory hyperpigmentation resulting from dermatitis.
It is recommended that you visit a dermatology clinic for a more accurate assessment.

Reply Date: 2014/01/30

More Info


Red spots around the mouth can be concerning, but they are often benign and can arise from various causes. Based on your description, it seems that you experienced red spots that later changed color and became less prominent. This could indicate a few potential conditions, and understanding these can help in determining the appropriate course of action.


Possible Causes
1. Irritation or Allergic Reaction: One common cause of red spots around the mouth is irritation or an allergic reaction. This could be due to contact with certain foods, cosmetics, or dental products. If you have recently changed any products or consumed new foods, this could be a likely cause.

2. Angular Cheilitis: This condition is characterized by inflammation and cracking at the corners of the mouth. It can present as red, sore patches and may be associated with fungal or bacterial infections. Although you mentioned that there was no pain, the slight itchiness you experienced could suggest a mild form of this condition.

3. Fungal Infections: Conditions like oral thrush can lead to red spots or patches in the mouth area. This is more common in individuals with weakened immune systems or those who have recently taken antibiotics.

4. Vitamin Deficiencies: Deficiencies in certain vitamins, particularly B vitamins (like B2, B3, and B12) and vitamin C, can lead to changes in the mucous membranes, including the development of red spots or lesions.

5. Dermatological Conditions: Conditions such as eczema or psoriasis can also manifest around the mouth. These conditions may cause red, scaly patches that can be itchy or uncomfortable.

6. Infections: Viral infections, such as herpes simplex virus, can cause lesions around the mouth. However, these typically present with more pronounced symptoms, including pain and blistering.


Recommended Actions
1. Observation: Since the spots have changed color and are not causing significant discomfort, it may be best to monitor them for any changes. If they resolve completely, it may have been a transient irritation.

2. Avoid Irritants: If you suspect an allergic reaction, try to identify and avoid any potential irritants. This includes avoiding new skincare products, lip balms, or foods that may have triggered the reaction.

3. Maintain Oral Hygiene: Good oral hygiene can help prevent infections. Brush and floss regularly, and consider using a mild mouthwash.

4. Consult a Healthcare Professional: If the spots persist, worsen, or are accompanied by other symptoms (such as pain, swelling, or fever), it is advisable to consult a healthcare professional. A dermatologist or an oral health specialist can provide a thorough examination and may recommend treatments such as topical steroids or antifungal medications if necessary.

5. Nutritional Assessment: If you suspect a vitamin deficiency, consider discussing this with your healthcare provider. They may recommend dietary changes or supplements to address any deficiencies.

In conclusion, while red spots around the mouth can be alarming, they are often benign and can result from various factors, including irritation, allergies, or infections. Monitoring the situation and maintaining good oral hygiene are essential steps. If symptoms persist or worsen, seeking professional medical advice is crucial for proper diagnosis and treatment.

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