Skin irritation on face (around lips)

[RS1]

Dear Dr.
two days ago, I noticed some cold sores around my lower lip and mistakenly applied wart gel on it. It burned and later developed a dark looking spot around the area. what do I need to do to remedy this problem. Thank you.

[BhumikaMD]

Hi,

Glad the post was of some help to you.

You need to wash the areas several times with fresh water. Do not use any cosmetic products at the sites.

Let us know about how you are doing and if you need any other information.

Post us about what your doctor advises.

Regards.

[RS1]

Thank you very much for your reply. I will use vaseline and hope this scar tissue will go away.

[BhumikaMD]

Hi,

This could be perioral dermatitis. 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.

Applying protective paraffin-based ointment (such as Vaseline) or lip balms to the lips is normally very effective. Also take Vitamin B supplements.

Let us know if you need any other information.

Regards.