Facial rash that subsides with antibiotics, but returns

[chrisandshauna]

My 17 month old daughter has a rash on the upper cheek of her face that has been there for over 4 months now. When she gets sick and has to take antibiotics, it starts to go away...almost to the point of non-existence depending on the regimen; however, as soon as she stops taking the antibiotics, the rash starts to come back.

It looks similar to mild diaper rash and is about the size of a quarter. Sometimes looks a little crusty and sometimes not. We've tried eveything from high-end lotion to taking her to the peditrician who just said to try the lotion and said it was not ringworm. Last time, she said to take her to a dermatologist, but we haven't had time just yet.

Any ideas or suggestions are greatly appreciated...if pictures would help, please let me know and I'll post.
Thanks,
Chris and Shauna

[chrisandshauna]

Thank You...we will make the appointment soon and try to practive your suggestions.

[Dr Santos]

Hi,

Orofacial  dermatitis is a common facial skin problem iwhich presents as groups of itchy or tender small red papules  that may appear round the mouth, upper lip and cheeks. The surrounding skin may be pink, and the skin surface often becomes dry and flaky. Moisturisers, cream cleansers, make-up foundation, sunscreens  and especially topical steroid creams or ointments, which appear to be the most frequent cause. Perioral dermatitis responds well to treatment but sometimes recurs when the antibiotics are discontinued, or at a later date. It would be best to have her evaluated by your dermatologist for proper management. Prescription of oral antibiotics for six to twelve weeks may be indicated. Washing the  the face with warm water alone while the rash is present may also help.

Take care and keep us posted.