Redness around nasal creas fungus vs. acne

[g36710]

My daughter (12 years old) has redness along both sides of her nose in the nasal crease.l  I have brought her to the dermatologist and they have tried many things.  Such as Rosac, protopic, Proactive, etc.. and nothing seems to clear it up.  She has recently been using tea tree oil and this hasn't been helping either.  The doctors think it might be some type of fungus, but don't know how to treat it.   they said if she was onlder they would try some type of oral medication.  Does anyone have any suggestions or any experience with this sort of thing?
I really want to help my daughter.

[MarkRoth]

It's wheat.  Every time I eat wheat I get the same thing.  When I avoid wheat, I never get it.

[LSchwartsman]

She needs to start taking  tetracycline and eat less gluten and sugar. Such rashes relate to bad bacteria in her gut. Plus, she needs to start taking probiotics and more green food.

[sarahelizabethborst]

I feel as if I have a vitamin B deficiency.  I stopped taking my b complex vitamin in the spring and that is when the redness around my nose started.  It's not pimples, more like little baby clogged pores and red lining either sides of my nose crease.  Do you think a b complex would help?

[loppa28]

Antibiotics are never an effective treatment for fungal infections.  You need an anti-fungal trearment such as Ketoconazole cream 2% apply to affected area.  Do not use in mouth or inside nasal cavity. I am a nurse and was just dx for the peri-oral fungus- it is very common among kids and adults...it is a Vitamin B deficiency - treatment also with a B-complex multivitamin.  Hope this clears up the problem.  Ketoconazole cream is prescription-need to see a physician to get it.  

[Joe_from_chi]

I think I may have the same kind of problem. I am a 24 year old male and have been having similar problems for the past year. It is more prominent on one the right side of my nose. In my case I have small almost pore like pimples that become inflamed and you can see the white in each enlarged pore and some of them do not have white just raised and red. I went to the derm a few times and the first time a scraping was taking and said I had a yeast overgrowth. I was prescribed fluconazole 100mg once a week for 4 weeks. It worked rather quickly, but by the time I was supposed to take my next week dose it just started coming back. I then was prescribed 2 pills in 200 mg form. The same thing happened. I took it and a week later it was back with a fury. Please help me and tell me what should be done. I also have pictures if need be.

Thank You.

[pronttto]

Joe how are you now? did the problem get any resolving?

[Dr Santos]

Hi,

I understand your concern. Perioral dermatitis can recur at a later date.  The cause really is unknown but it is associated with triggers mentioned above. What was the result of the fungal diagnostic test? If it is positive for fungus, the infection should respond to anti-fungal medication. It is possible that the medicine is not strong enough. It is best that you inform her dermatologist about her reaction to the cream for alternative management.

Take care and regards.

[g36710]

SHe was tested for a fungal infection and we did try lotrimin cream and it seemed to make it worse.  Does it need to get worse before it gets better with that type of treatment?
I would really like to help her as she is in her pre-teen years and will most likely start having problems with acne too.
Thanks

[g36710]

My daughter doesn't use any make-up or moisturizers on her face.  And prior to the redness occurring, she wasn't using anything on her face that would get it started.
When she was two she had periooral dermatitis around her mouth where her pacifier would touch her skin.  Can these types of conditions lay dormant and show up in another form later in life like now?

[Dr Santos]

Hi,

How is your daughter? Definite diagnosis of a fungal infection is by obtaining skin scrapings of the lesion and evaluating it under the microscope for fungus. This usually responds to antifungal medication. Aside from fungal infection, another differential is perioral dermatitis which presents as groups of itchy or tender small red papules  that may appear round the mouth, upper lip, nose, chin or cheeks. The surrounding skin may be pink, and the skin surface often becomes dry and flaky. The most common cause is the application of moisturisers, cream cleansers, make-up foundation, sunscreens  and especially topical steroid creams or ointment. It is important that she stop using any of these to her face.

This condition responds well to antibiotic treatment but can recur at a later date or when the antibiotics are discontinued.  It is important to wash the face with warm water alone while the rash is present. Finish the full course of antibiotics prescribed by your doctor to prevent recurrence.

Take care and keep us posted.