Happy to know that you are responding well to treatment.Do continue and you should be fine.The above references are just random ones which might help some difficult cases.Anyway all these need proper evaluation by the doctors and should not be used by readers of the forums.
Best wishes.
Granulomatous perioral dermatitis (facial Afro-Caribbean childhood eruption,
FACE). Br J Dermatol 1991; 125: 399. 1. Nutting WB. Hair follicle mites (Demodex spp.)
One more reference.While it is indeed true that most cases of perioral dermatitis follow steroids,our dermatology faculty does believe the role of demodex not just as a casual pathogen.The response in some refractory cases are so gratyfying that we are tempted to believe otherwise.
Best wishes.
Thanks...I did consult my doctor(s) and they thought it was absolutely silly to consider demodex a factor in relation to the perioral dermatitis and can almost certainly be attributed to overuse of topical steroids, a Group III topical steroid at that. I'm responding very well to a change in cleanser to one that's all natural and paraben free.
While the eyelids remain the main place these mites grow on the face,skin apparently damaged by topical steroids in POD are other putative locations likely for growth.While there is a strong association, as to whether it is the cause of POD is far from established. However gratyfying results are seen with metronidazole at least in a few cases.While it is cerain that antibiotic therapy is first line, refractory cases do benifit from metronidazole. Do consult your doc.
Density of Demodex folliculorum in Perioral Dermatitis
Mateja DOLENC-VOLJC˘ 1, Maja POHAR2 and Tomaz˘ LUNDER1
1Department of Dermatovenereology, University Medical Centre Ljubljana, and 2Institute of Biomedical Informatics, Faculty of Medicine, University
Acta Derm Venereol 2005; 85: 211–215
Topical metronidazole in the treatment of perioral dermatitisJournal of the American Academy of Dermatology
Volume 24, Issue 2, Part 1, February 1991, Pages 258-260
Best wishes.
Thanks for the reply...you think it's an infestation of face mites? I was thinking it was probably something in relation to the steroid cream, considering the indications that my skin is sensitive.
While I guess I shouldn't rule it out, I can't find enough evidence online to suggest that it's remotely similar to what I am experiencing, considering the main symptoms of 'Demodicosis' seem to be eye related and my eyes and the surrounding areas and nose are fine. I'm experiencing symptoms only around my chin. I suppose it's possible that d. folliculorum is contributing to the irritation but I'm trying to figure out the cause of the irritation in the first place. Guess I'll stay on the antibiotics...
Most likely to be 'Demodicosis' caused by 'Demodex folliculorum'. An increased density of the mite 'Demodex folliculorum' has been found in association with POD.While metronidazole gel is used as treatment here you may well consult your physician before that.
Best wishes.