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perioral dermatitis
by graceyea, Aug 12, 2009 09:47AM
Dear Doctor,
I have gone to see my dermatologist for mild acne on my face and red burning sensation around my mouth. He said 'It's irritated'. I did some internet searching and suspect it's perioral dermatitis. He gave me locoid lipocream (hydrocortisone steroid cream) for irritation around my mouth but after 3 days it's more red, burning and now flaky. I had stop using it and the irritation is even worse. I searched the cream and perioral dermatitis is listed as one of its side effects! So I've been applying a cream that gives me the same skin problem I already have!? Also I'm using Benzaderm 10% wash with aloe vera, Tazorac and taking solodyn (minocycline) for acne treatment. Do these products irritate perioral dermatits even more? and what do I do about steroid cream? I can't see my derm until next week and I don't know what to put on my face anymore. Please help!!
I have gone to see my dermatologist for mild acne on my face and red burning sensation around my mouth. He said 'It's irritated'. I did some internet searching and suspect it's perioral dermatitis. He gave me locoid lipocream (hydrocortisone steroid cream) for irritation around my mouth but after 3 days it's more red, burning and now flaky. I had stop using it and the irritation is even worse. I searched the cream and perioral dermatitis is listed as one of its side effects! So I've been applying a cream that gives me the same skin problem I already have!? Also I'm using Benzaderm 10% wash with aloe vera, Tazorac and taking solodyn (minocycline) for acne treatment. Do these products irritate perioral dermatits even more? and what do I do about steroid cream? I can't see my derm until next week and I don't know what to put on my face anymore. Please help!!
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Perioral dermatitis is a chronic papulopustular and eczematous facial dermatitis.Treatment consists of oral antibiotics and anti-inflammatory drugs. A mild soap or soap substitute, such as Dove or Cetaphil should be used for washing. Scrubbing should be avoided.The antibiotics that you are taking can be taken and they wont worsen your condition.Consult your doctor for prescribing you a less potent steroid cream as steroid creams can cause redness and peeling of the skin.
I hope that helps.Take care and please do keep me posted on how you are doing or if you have any additional doubts.Kind regards.
I stopped using the steroid cream and benzaderm wash and switched to a mild soap (manuka honey). So I'm taking Minocin and applying Tazorac for now. Most part of skin is peeled off. It looks alot better. I think the oral antibiotic is working very well!! I heard steroid creams do not cure the condition but just ease the symptoms. Is that true?
Thank you for your concern doctor!