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Dermatology (Expert Forum)
Perioral dermatitis - desperate for help!
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center
Brookline - MA
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Perioral dermatitis - desperate for help!
by vc338, Oct 31, 2007 05:25AM
Hi DR
I really hope you can help me! I will try and keep this story brief:
I started getting red blotches on my face around Dec 06 went to the doc’s later in Jan 07 and she told me I had Eczema and I was to treat it with Elecon and Hydrocortisone cream. I did this right up until beginning of September 07 and went back to the doc’s as it just came back within 2 days after using the creams. She then told me on September 7th I had POD and gave me Daktacort and a weeks worth of anti B’s. It all seemed to clear up, slowly, but was a 99.9% improvement so I did not complain. I decided to stop using the Dakracort cream 13th October as I thought it was a short term problem I had. Anyway to cut a long story my face basically exploded into a bright red rash with the white heads and it seemed to increase to around my left eye area as well as all around my mouth.
I have been given Doxycycline antibiotics which I started exactly a week ago today and am applying Daktacort VERY thinly once a day (reluctant to use Daktacort as I am worried of skin thinning and my skin growing immune to it). So it is a week on and yes my rash is not as big but it is definitely still there and just as red. I have been given Doxycycline Capsules 50mg per day for one month. I have been to my GP several times and who I really don’t think they know anything about the condition as I was initially given thrush cream and put on the yasmin contraceptive pill.
My questions to you are:
1. do you think I have been give the right dose of Doxycycline and for the correct duration
2. is the Dakacort the appropriate cream to be using
3. And finally I am absolutely worried sick that I am going to be stuck with this for life (I am in sales and it is severely affecting my work performance!)
If these antibiotics don’t work and I need to see a dermatologist in London is there anyone you recommend?
I really look forward to hearing from you.
I really hope you can help me! I will try and keep this story brief:
I started getting red blotches on my face around Dec 06 went to the doc’s later in Jan 07 and she told me I had Eczema and I was to treat it with Elecon and Hydrocortisone cream. I did this right up until beginning of September 07 and went back to the doc’s as it just came back within 2 days after using the creams. She then told me on September 7th I had POD and gave me Daktacort and a weeks worth of anti B’s. It all seemed to clear up, slowly, but was a 99.9% improvement so I did not complain. I decided to stop using the Dakracort cream 13th October as I thought it was a short term problem I had. Anyway to cut a long story my face basically exploded into a bright red rash with the white heads and it seemed to increase to around my left eye area as well as all around my mouth.
I have been given Doxycycline antibiotics which I started exactly a week ago today and am applying Daktacort VERY thinly once a day (reluctant to use Daktacort as I am worried of skin thinning and my skin growing immune to it). So it is a week on and yes my rash is not as big but it is definitely still there and just as red. I have been given Doxycycline Capsules 50mg per day for one month. I have been to my GP several times and who I really don’t think they know anything about the condition as I was initially given thrush cream and put on the yasmin contraceptive pill.
My questions to you are:
1. do you think I have been give the right dose of Doxycycline and for the correct duration
2. is the Dakacort the appropriate cream to be using
3. And finally I am absolutely worried sick that I am going to be stuck with this for life (I am in sales and it is severely affecting my work performance!)
If these antibiotics don’t work and I need to see a dermatologist in London is there anyone you recommend?
I really look forward to hearing from you.
Doctor's Answer
by Alan Rockoff, MD, Oct 31, 2007 09:01PM
, Oct 31, 2007 09:01PMTo: vc338
It does sound as though you have perioral dermatitis. This is a form of rosacea, which in some cases--yours, for instance--is aggravated and perpetuated by the use of steroids. I recommend that you take doxycycline 100 milligrams twice a day and that you discontinue Daktacort, which as a steroid quiets down the inflammation but at a cost of lengthening the healing. When you stop the Daktacort, your rash will get substantially worse, but only for a time. This rash is not permanent and will not result in lasting damage of any sort. You ought to get a dermatology opinion to support my educated but long-distance suggestions. Any competent dermatologist will do, as this is not an exotic condition. It is unpleasant, but curable.
Best.
Dr. Rockoff
Best.
Dr. Rockoff
Many thanks for your response. I am waiting to see a dermatologist but have a four week wait. In the mean time is there any other cream I should be using as well as the Doxycycline?
Regards
Victoria