Perioral Dermatitis - please help

[sasha3247]

I am a 30 year old female who was diagnosed with perioral dermatitis two weeks ago. It has been great to get a diagnosis but it has been frustrating, as I have had the same rash 3 times over the last 4 years and no one knew what it was. After various GP's prescribed steroid creams and antifungal creams the only thing which finally cleared it was an oral tetracycline and for a milder recent outbreak, a topical tetracycline. This time, I had a nightmare, my GP gave me a potent topical steroid and oral flucloxacillin as he said it was impetigo, the rash cleared 80% then came back with a vengance. Finally after breaking down in tears in his surgery, he referred me to a dermatologist who prescribed a 6 week course of a tetracycline and zineryt (topical erythromyin). It is clearing up but slowly and during the first week on antibiotics a few new patches appeared which was depressing.
I have a couple of questions:
1) Do you think it is definatley perioral dermatitis? It comes up under my nose on the lhs, down the nasolabial lines of my cheeks and occasionally on the rhs of my chin. It consists of raised red bumps which become confluent and form small vesicles on top which eventually burst and then they heal but tend to come back in the exact same area. Anti spot treatments such as nicotinamide + witch hazel do not help at all so I know they are not normal spots.
2) I know the cause is unclear but I can't pinpoint anything which predisposes to the outbreaks except possibly stress. I have read so much confusing stuff on the internet about cutting out flouride toothpaste (which I have done out of desparation) and Sodium Lauryl Sulphate and not wearing make up. I use soap free dermalogica facial products as I have oily skin but I have never had acne. I don't really know what to do to prevent this happening again.

I would really appreciate some advice about this. My dermatologist never seems to have much time to talk to me as I think he has seen worse cases and doesn't understand how upset I am. I have been incredibly down over the last few months, It is like a black cloud over me, sometimes I can't even bear going to work although I have to. I wear make up over it which I know probably doesn't help but I can't bear to be seen without it.

Please help, I feel so alone.

[maatson]

Sometimes treatment for associated demodex follicularum helps in clearing perioral dermatitis.cheers.

[nic1927]

dear sasha 3247 I have experienced this before and currently have an outbreak. I do think it's perioral deramtits which I have used zineryt lotion to treat before I am currently using it again as it did work the first time with some perseverance. I have also consulted a homoepathic doctor who gave me drops to take before and after meals, again I have used this medicine and hope the combination will work once more. I will keep you posted! Dr Jan de vries is the homoepathic doctor check out the web site. I know it's horrible having spots on your face but stay positive  stressing won't help!! It can be cured just takes time - I've suffered from various skin complaints - psorisis being the worst yet, I had to go into hospital to have intense treatment ,although fortunately it never affected my face. When you see some people who have much worse conditions well it kinda keeps things in perspective.

[Janiegunn]

Where do you get this lotion.? Online from this Dr Jan?