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Expert Q&A:
What causes blister-like bumps to appear on and above my 9-month-old's lips?

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Answered by Anthony Mancini M.D.
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Dr. Mancini received his undergraduate and medical educations at the University of Arizona, and trained in pediatrics, pediatric dermatology, and dermatology at Stanford University. He is currently Associate Professor of Pediatrics and Dermatology at Northwestern University's Feinberg School of Medicine and Head of the Division of Dermatology at Children's Memorial Hospital in Chicago, Illinois.



Dr. Mancini has served as a member of the AAP Executive Committee, Section of Dermatology since 2001. He is a member of the AAP Super CME Planning Group and the AAP Pedia Link Pediatric Dermatology Project Team, and is Secretary-Treasurer of the Society for Pediatric Dermatology. His teaching accomplishments include the Faculty Excellence in Education Award from the Department of Pediatrics at Northwestern, which he has received for the last eight years. Dr. Mancini is a peer reviewer and/or sits on the editorial board for several academic journals, and has published over 75 peer-reviewed articles, abstracts, and book chapters. He is co-author of Hurwitz Clinical Pediatric Dermatology, 3rd edition, and is an associate editor for the comprehensive dermatology textbook Dermatology. His special interests include infectious skin diseases and exanthems of childhood, vascular malformations and hemangiomas, and neonatal skin maturation and skin disorders.



Dr. Mancini is a Fellow of the American Academy of Pediatrics and the American Academy of Dermatology. He and his wife, Nicola, a neonatal intensive care nurse, have three children (Mallory, Christopher, and Mackenzie) and reside in Evanston, Illinois.
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Question


What causes blister-like bumps to appear on and above my 9-month-old's lips?

Answer


The answers to your questions really depend on the cause of these bumps. If they are truly blisters (bumps filled with clear fluid), and if they tend to occur in the same place each time, she may have cold sores, which are caused by a virus. This infection is quite common in older children and adults, and less common in infants. It can be treated with topical or oral medications, if necessary. There are several other causes of skin bumps around the mouth, including simple irritation, bacterial infection, and something called perioral dermatitis. Regardless of cause, you can rest assured that none of these is a predictor of future acne for your daughter. However, if she continues to develop new bumps, have her evaluated by her pediatrician.
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