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roaccutane
by mike599, Aug 28, 2008 12:33AM
can roaccutane be used for perioral dermatitis? have been on it for three months, have previosly been on doxy and miniycline for 3 months each. the rash is below my mouth of both sides. its big and really red. thanks
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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.
Roaccutane has been used in patients with severe perioral dermatitis with some benefit. Do consult with a dermatologist regularly.
Let us know if you need any other information.
Regards.