Perioral Dermatitis

I am a male and in my teens and have Perioral dermatitis which I have read is uncommon, I know exactly how I got the skin condition from to much use of a Steroidal topical cream, I am now going through my second flare up - my last flare was about 2 years ago around this time, I think the flare up was caused by chlorinated water, which I read is not good for this condition I have been struggling to keep this condition under control and my treatment from my last time does not seem to be working, which were an Alclometasone cream in the morning, and a Ketoconazole cream at night, I am trying to get an appointment with a dermatologist to get a prescription for Doxycycline, Tetracyline, of Erythromycin tablets with Erythromycin gel, I am not sure which tablets would be more effective in controling the dermatitis and wanted to know what you think, I have also been washing my face with a wash containing Salicylic Acid, and another wash contain Benzoyl Peroxide, and wanted to know if this would help treat the condition or just irritate my skin?

Thank you,

Michael

[BhumikaMD]

Hi,

Perioral dermatitis, a condition related to acne vulgaris, consists of red papules that may appear microvesicular that typically affect the nasolabial folds, perioral area or perioccular area. It usually affects women between the ages of 20 and 45.

http://en.wikipedia.org/wiki/Perioral_dermatitis

It is commonly caused by the use of fluorinated topical glucocorticoid steroids to this area.

It is treated in a similar manner to acne vulgaris with tetracycline antibiotics or erythromycin but, without the use of topical steroids.

Recently, photodynamic therapy (PDT) has been reported to be helpful, although large studies have not yet been performed.

Let us know if you need any other information.

Regards.

[MichaelNJ]

I've recently went to the doctor and was prescribed Doxycycline and Benzaclin a topical gel which consists of 1% clindamycin and 5% Benzoyl Peroxide it seems that its getting better, I just wanted to know what your opinion was on this?

Thank you,

Michael

[BhumikaMD]

Hi,

Glad to know that the post was of help to you and that you are symptomatically better.

Like i said in my previous post - the treatment is in accordance with that.

Follow up regularly with your doctor and let us know if you need any information.

Regards.