I think i have Perioral Dermatitis!

[silverjpd6]

Hi my name is James, I'm male, and 19 years old.  Every summer i seem to break out pretty bad around my chin and mouth.  And today i was searching on acne topics and i read about Perioral Dermatitis.  The acne around my chin seems very close to that rash that is rare for males.  I also read that Perioral Dermatits seems to show during humid times of climit.  I live in Clovis, California and it gets very hot here during the summer.  

If possible can i get information on if i have Perioral Dermatits or if its just acne.  And if it is can i get information on how i can treat my condition?  I have uploaded some pics that i have taken today to show my skin condition!  thank you!

[swingerofbirches]

It looks like your skin is really irritated. If it is acne it looks like what you're using is too harsh on it. Maybe try not using a scrub and just gentle soap and a milder benzoyl peroxide solution. You could  ask your doctor about Accutane too, or get a prescription for a retinoid. (That is if it is acne, which it looks like to me, but it is odd that it's only on that part of your face, so you should probably see a doctor.)

[Dr Santos]

The problem wih perioral dermatitisis that it sometimes recurs when the antibiotics prescribed are discontinued or at a later date. However, the same treatment can be used again and it is not because you are resistant to the antibiotic. I am not familiar with  the technical aspects of posting pictures but i strongly recommend that you have it evaluated with your doctor. A complete history and physical examination is needed which can not be done here.

Take care and regards.

[silverjpd6]

Well it only uploaded 1 pic for some reeason!  and for some reason the pic wont get bigger on this site!  if i can ide show you the pics full size if that would help!  

Anyways right now I am using Olay facial scrub face cleanser.  I am also using Natures Cure for males which i take a pill 2 times a day and its over the counter.  The pill is suposed to balance out my hormones if i am having hormonal problems.  And I am using vanishing cream which comes with the natures cure for males.  It is 5% Benzoyle Peroxide.  I have been puting on the benzoyle peroxide vanishing cream 1 time every night.  I have been doing all this for about a month now.  

I was previously on Tetricycline for about a year.  It made my skin very clear and it just popped up a few months ago again.  As if my skin got resistant too Tetricycline.  Is there a way i can post a pic full size?  Too show u?

[Dr Santos]

Hi,

There seems to be a problem with the uploaded pictures. Perioral dermatitis is a common facial skin problem in adult women but may also occur in men and children. Groups of itchy or tender small red papules appear most often around the mouth and often the skin around the nose and the eyes.Treatment should depend on the severity and extension of the disease. Usually, anti-inflammatory systemic or topical therapy is required. It is important to discontinue all face creams including topical steroids, cosmetics and sunscreens and wash the face with warm water alone while the rash is present. It is best that you see your doctor for proper evaluation of the severity and extent of the rash. Your doctor or dermatologist may also prescribe a course of oral antibiotics for six to twelve weeks. These links may be helpful:
http://dermnetnz.org/acne/perioral-dermatitis.html
http://www.emedicine.com/derm/TOPIC321.HTM

Take care and keep us posted.