###Human: White itchy spots around the lips, below the nose, and on the chin. What could it be? ###Assistant: Hello. This condition is known as perioral dermatitis, which usually results from the use of topical steroids. One feels better when they use topical steroids like Elocon (Mometasone), but it gets worse as soon as it is stopped. You need to stop using steroids and start taking following medications A. Pimecrolimus, 1 % Cream, apply once at night. B. Metronidazole gel 0.75 % apply once in the morning. C. Use sunscreen every three hours during day time. D. Capsule Doxycycline 40 mg once a day. E. Tablet Fexofenadine 120 mg once a day. Do this for 20 days and then follow-up. Please stop using topical steroids for this.