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Perioral Dermititis

by WESTFIELD82, Jan 29, 2009 06:19PM
I just got prescribed a cream called elidel for my perioral dermititis and  oral medication which I will be taking for 3 months.
I have been using the cream for 2 days but I have not yet started the pills because the pharmacy has to order it. will the pills treat faster then the cream because the cream does not seem to be doing anything.

I have never used a cortizone product and have been using the same toothpaste for 2 years now, do you think whitining strips may have caused this because I was using them at the time.


This discussion is related to Perioral dermatitis.
Member Comments (1)

by BhumikaMD, Jan 30, 2009 07:55AM
Hi,

This could be perioral dermatitis or tinea (ringworm).

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 , but can be seen in males too.

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.

Roaccutane has been used in patients with severe perioral dermatitis with some benefit. Do consult with a dermatologist regularly.

This could be due to the strips you are using. You need to wash the areas several times with fresh water. Do not use any cosmetic products at the sites.

Apply calamine lotion at the site of the lesions and see if it helps. You could take some oral antihistamine medications like cetrizine or loratadine. You need to maintain a good personal hygiene .

Let me know if you need any other information.

Regards.
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