Treatment of perioral dermatitis, symptoms,causes

Update: October 2018

Perioral dermatitis – in medicine is also called
rosacea-like or peri-secondary dermatitis. It is rare
disease, it occurs in about 1% of the population, most often in
women 20-40 years old.

With perioral dermatitis on the skin around the mouth, on the chin
small papules, acne appear, skin reddens, appears
irritation and growth of papules in a larger area. It creates
a man of considerable aesthetic, physical and psychological
the discomfort. This is the way most patients describe the onset
– “… recently noticed that a few were formed on the chin
small red pimples, I began to use acne cream and
wash more often, but that only made it worse.

After a few months, the skin around the mouth and chin
just became red, and when acne healed, dark ones were left
stains. And between the lips and the affected areas around the mouth there is
a clear strip of healthy skin without redness … “.Пероральный дерматит - лечение

Symptoms of perioral dermatitis

If similar symptoms occur:

  • In the chin and mouth pain, itching, burning,
    redness, feeling of tightness of the skin, red small acne
  • Acne can be with heads, when emptying
    clear liquid is released, over time, acne becomes
    ulcers
  • Acne forms colonies, clusters
  • The skin on the inflamed areas begins to become thin.
    transparent scales, which then fall away

Most likely, that such inflammation of the skin is caused by perioral
dermatitis. But to clarify the diagnosis, be sure to
consult a dermatologist, since the appearance of acne and
irritations on the face may be due to other reasons:

  • Diffuse atopic dermatitis
  • Allergic Contact Dermatitis
  • Seborrheic dermatitis
  • Common, acne rosacea, steroid acne.

To highlight the microflora of the lesion site and determine
pathogen spend bacposse scraping or content
rashes.

The skin around the mouth may be unchanged and constitute
habitually colored border up to 2 cm. Usually rashes
located on slightly reddened skin or the skin does not change
coloring.

Causes of perioral dermatitis

  • Reduction of humoral and cellular immunity
  • Climate change, ultraviolet exposure
    radiation
  • Hypersensitivity to bacterial allergens
  • Long or even short-term use of local
    corticosteroids in the form of creams, ointments (see the full list of all
    hormonal creams and ointments – Ointment for psoriasis)
  • Predisposition to allergic reactions, the presence of
    allergic rhinitis, bronchial asthma
  • Fairly sensitive facial skin
  • Abundant use of various cosmetics for
    faces
  • Hormonal imbalance in gynecological disorders
  • The use of dentures containing toothpastes
    fluorine
  • Disorders of the digestive tract, nervous system, endocrine
    systems

If dermatitis is caused by cosmetics, read carefully
composition of all creams, lotions, etc. Here is a list of some
Ingredients that most commonly cause perioral dermatitis:

  • Paraffin
  • Sodium lauryl sulfate
  • Cinnamon Flavors
  • Isopropyl myristate
  • Vaseline

Treatment of perioral dermatitis

The treatment of this skin disease is quite long,
the duration of therapy ranges from 1.5 to 3 months and depends
from the severity of perioral dermatitis. Treatment
peri-secondary dermatitis is appointed by the dermatologist and the sooner
contact a specialist, the more effective the result. Even with
proper treatment may further relapse of the disease, but
they flow much easier and are eliminated faster.

The use of corticosteroids (hormonal ointments, creams) for
perioral dermatitis is contraindicated.

Zero therapy

The first thing recommended after making a diagnosis
called zero therapy. That is, cancel all used
ointments, creams, cosmetics, especially with corticosteroids
substances, as well as change the toothpaste to normal. At the same time
some time the condition may worsen and then after a few
weeks should go improvement.

Antihistamines

At this time, it is possible to use antihistamine drugs.
(Suprastin, Cetrin, etc., see All allergy pills), thiosulfate
sodium, calcium chloride.

Antibiotics

With oral dermatitis, antibiotic treatment is sufficient.
efficiently. The appointment of the gel or cream Metronidazole 0.75% or gel
Erythromycin 2% stops the progression of the disease. Apply
funds should be 2 times a day until they stop
rash.

An antibiotic may be prescribed by the doctor orally – this
Minocycline or Doxycillin 100 mg 2 p. a day until they leave
rashes, then during the month 100 mg once a day and another
month 50 mg per day. As well as taking Metronidazole inside (this is not
antibiotic and antiprotozoal drug).

Or tetracycline in a similar pattern, only 500 mg / 2 times,
then 500 mg / 1 times and 250 mg / 1 times. After start using
antibiotics may occur worsening, but usually after 3 weeks
significantly improves the condition of the skin.

Cream Elidel (Pimecrolimus)

Пимекролимус  можно использовать при пероральном дерматите
only when prescribed by a doctor when other drugs are
ineffective.

Elidel – a cream that has long-term adverse
effects, the effect of the drug is not yet fully understood, but
It is believed that pimecrolimus suppresses the secondary immune response and
there have been cases of the development of skin tumors, lymphomas after
application. Therefore, the use of this tool should be treated
carefully.

Skin Care for Perioral Dermatitis

With этом заболевании рекомендуется щадящий уход за кожей faces.
After washing you should not wipe your face with a towel, but only
promakivat The doctor can pick you indifferent powder,
cooling, moisturizers, in the composition of which there are no substances
aggravating symptoms of the disease. (see. Allergy cream, ointment from
dermatitis)

Herbal infusions

In the case of an acute process to alleviate the symptoms, you can
use chamomile chills (if not
allergies) or 1% boric acid, as well as from the infusions of St. John’s wort,
celandine, calendula.

Normalization of the general state of the body

If there are foci of infection, then treatment is necessary.
associated diseases, as well as the normalization of endocrine and
нервной systems, работы желудочно-кишечного тракта. With
the need for prescribing fortifying, immunostimulating
drugs, drugs normalizing the function of the central nervous system.
Recommended monthly courses of vitamin therapy, B vitamins,
vitamin C and A, folic acid.

Sunshade protection

During the period of treatment, it is worth protecting from direct sunlight.
rays because ultraviolet radiation aggravates the symptoms
perioral dermatitis. Summer should be used daily
sunscreen with a protection factor of at least 30.

Автор: Мельникова Светлана Георгиевна врач-дерматолог

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