How do i treat atopic eczema around the mouth?

Eliminate & steroids: Finding the allergy causing the atopy, such as topical products or foods is the best solution. If this is not an option, or the cause is undetermined, low dose topical steroids may be the best option, need to be careful not to get them in the mouth. I would recommend evaluation by an allergist or dermatologist before instituting treatment to verify the diagnosis and possibly have testing done.

Eczema: Avoiding drying makeups or irritating substances to this area. Keeping it well hydrated with a thicker emollient or ointment, and then using mild potency topical steroids recommend by your doctor.

Moisturize: Moisturize with Vaseline or Aquaphor. Can use low-potency topical corticosteroids twice a day with flares but limit use as prolonged applications can cause thinning and discoloration of the skin. Also avoid triggers, daily use of Chapstick, and/or lip licking.

Moisturize...: If it is due to a persistent "lip-licker" and the diagnosis is certain, then frequent (every 1-2 hours while awake) applications of vaseline should help to restore the epidermal layer that has been damaged by the continuous wet-dry-wet-dry cycles. If the child is older and absorption is not a concern, then a very low potency steroid may also help. Also, zinc supplements may be beneficial.

Atopic dermatitis: Best treatment for atopic dermatitis around the mouth would be a low potency steroid cream such as desonide or nonsteroidal cream such as elidel (pimecrolimus).