Perioral dermatitis is an inflammatory process that manifests itself in the form of rashes around the mouth. Able to spread to almost the entire face. Pathology has a chronic course and affects only 1% of the earth's population. The disease can go away on its own, however, without treatment, oral dermatitis tends to recur over time.

Alternative names are perioral, steroid, or rosacea-like dermatitis, and flight attendant disease.

9 photos of Perioral dermatitis with a description

Perioral dermatitis. Why does it arise?

The causes of perioral dermatitis are vague today. Nevertheless, the factors contributing to its appearance are known:

  • frequent and prolonged use of topical corticosteroid medications (usually prescribed for other skin conditions such as acne, eczema, or rosacea);
  • chapping of the skin;
  • prolonged exposure to direct sunlight;
  • frequent use of decorative cosmetics (especially if it is of poor quality);
  • the presence of pathologies of the gastrointestinal tract;
  • neurological problems;
  • imbalance of hormones;
  • hypovitaminosis (especially a lack of vitamins E and A);
  • chronic infectious processes;
  • regular use of oral contraceptives;
  • weakened immune function;
  • prolonged stress;
  • hypersensitive skin.

Also, a rash can appear with an allergic response to one or another irritant or when moving to a different climatic zone. Rarely, its formation can be facilitated by the use of a toothpaste with fluoride in the composition.

It is worth noting that light-skinned people are more susceptible to perioral dermatitis.

Symptoms of Perioral Dermatitis

A typical symptom is a reddish, punctate rash around the mouth. It is noteworthy that the area near the red lip border does not suffer.

The key manifestations are:

  • scaly or blistering rash around the mouth (transparent liquid content often accumulates inside);
  • pain, burning and itching;
  • redness (clearly visible in the photo of oral dermatitis);
  • feeling of tightness of the skin.

Formations are usually grouped into separate areas. Occasionally, they can move to the paranasal zone and cheeks. Even more rarely - on the forehead and eyelids.

How perioral dermatitis manifests itself externally is clearly demonstrated by the photo. Symptoms can persist for weeks or months.

It is important to note that some other skin diseases have similar symptoms. Also, it may not be dermatitis, but a banal irritation. Therefore, a specialist is needed to make an accurate diagnosis.

Perioral dermatitis in adults

Typically, this type of dermatitis affects women aged 15 to 45 years. However, this is just a trend. The disease can affect people of any age, gender, or race.

In some women, the disease develops during pregnancy, especially in the early stages. This is usually associated with a decrease in immunity.

With perioral dermatitis, treatment during pregnancy should be extremely careful, since the medication cannot be taken in the first three months of gestation. In the second trimester, antibacterial formulations may be prescribed.

Perioral dermatitis disease in children

The disease develops in children of any age, starting from birth. Perioral dermatitis in a child usually requires more careful treatment. Nevertheless, in general, it is not much different from the standard.

Often, a rash occurs in the following circumstances:

  • during teething;
  • with profuse salivation;
  • in case of prolonged use of the nipple;
  • during treatment with an inhaler and after using sprays that contain hormones (the most common cause).

Childhood illness often proceeds somewhat differently. The rash may be painless and light pink or tan in color. In the case of perioral dermatitis in children, the causes and treatment are strictly determined by a specialist.

Pathology does not pose a threat to the child. Most experts classify pediatric perioral dermatitis as a type of rosacea.

Perioral dermatitis treatment

Usually, in the case of perioral dermatitis, the causes and treatment in adults practically do not differ from the situation with a childhood disease.

Therapies include four main areas:

  • Exclusion of provocateurs. It is recommended that you stop using steroid creams and nasal sprays as a priority. You should also exclude cosmetics, soap, and fluoride toothpaste. Avoid direct sunlight and apply SPF cream before going outside.
  • Compliance with a diet. As a rule, patients are shown a hypoallergenic diet of predominantly vegetable content. If there is no effect, the diet can be replaced with therapeutic fasting, which is selected individually by the doctor. In addition to vegetables and herbs, dietary meat (preferably boiled or steamed poultry), water porridge, legumes, fruits and dairy products should be added to the menu. Coarse flour baked goods are acceptable. It is worth excluding tea and coffee, sweets and spices, alcohol, eggs and mushrooms, citrus fruits, fish, as well as canned products and sausages. Shown a plentiful drink - to harmonize metabolism.
  • Oral medications. Designed to eliminate symptoms and improve the body's immune forces.
  • External remedies. Needed to relieve symptoms and soothe the skin.

In rare cases, you may need to cleanse the intestines - with the use of enterosorbents or enemas. The exact treatment strategy will be determined by the doctor - after diagnosing the causes and severity of the condition.

In general, a therapeutic course can last from 2-3 weeks to 6 months - depending on the specific situation and the degree of damage. Since the pathology tends to recur, the patient should regularly follow preventive measures.

Perioral dermatitis. Treatment with folk remedies

An appeal to folk experience is possible only after consultation with a doctor and exclusively as a supplement.

The most famous folk methods:

  • Vegetable lotions. In equal shares, take a series of plantain leaves, chamomile leaves and calendula flowers. Mix and pour 50 grams of the resulting mass with 500 milliliters of boiling water. They insist. The resulting composition can be used to wipe or irrigate the skin of the face, as well as make lotions.
  • Honey compress. Take one fourth of a glass of flax oil and natural honey. The mixture is heated in a water bath and 2 tbsp. spoons of onion juice. Mix thoroughly and allow to cool. Used in compresses. Be careful with this recipe, as honey is a strong allergen.
  • Birch broth. A medium-concentrated broth is prepared from birch buds. It can be drunk or used for washing.

In addition, you can prepare infusions or decoctions from medicinal herbs such as chamomile, celandine and St. John's wort. Plants can be cooked individually or combined. Usually, reviews of this treatment for oral dermatitis are positive.

It is better to resort to homemade recipes only in the early stages of the appearance and development of pathology.

Perioral dermatitis. Medication treatment

During the course of the therapeutic course, the doctor may prescribe the following types of drugs:

  • Antihistamines. Designed to weaken the body's painful reaction to an irritant and relieve inflammation with itching.
  • Sedatives. Needed to calm the nervous system and skin.
  • Cooling creams. To soothe the skin. Also, often with perioral dermatitis, symptoms are treated with ointment.
  • Antibiotics Both systemic and local. They are prescribed for severe disease, as well as in cases of bacterial infection.
  • Immunomodulators. To regulate the activity of the immune system.
  • Immunosuppressive creams. Used to artificially limit and suppress local immunity.
  • Diuretics They are used to improve the excretion of fluid from the body. Indicated for severe swelling.
  • Acne remedies. To relieve symptoms.
  • Vitamin complexes. To support the strength of the body.

As a rule, several medicines are used at the same time - in a complex. Since with perioral dermatitis, the causes and treatment may be different for different patients, the doctor prescribes the necessary drugs after an accurate diagnosis of the condition.

Preventive measures for perioral dermatitis

Despite the fact that with perioral dermatitis, patient reviews about treatment are usually positive, relapses may occur.

To avoid the disease or prevent its progression, a number of rules and restrictions must be observed:

  • Avoid the use of drugs based on glucocorticoids. This applies to both external formulations and medicines for internal use. If the intake cannot be avoided, it is better to resort to weaker drugs. Also, do not abuse creams for rosacea, seborrheic dermatitis and acne. This is especially true for patients with chronic infections and hormonal imbalances.
  • Use cosmetics with care. It should be light, for sensitive skin and without aggressive ingredients in the composition. The latter include paraffin wax, sodium lauryl sulfate, petroleum jelly, and fragrances. It is best to use moisturizers and mild cleansers on a regular basis.
  • Protect the skin from external influences. The sun's ultraviolet rays and wind can aggravate perioral dermatitis. Before going out, you should apply protective creams with SPF on your face.
  • Follow a hypoallergenic diet. And give up bad habits like smoking.

Perioral dermatitis is a chronic skin disease. It is also known under other names: steroidal dermatitis of the face, perioral rosacea, rosacea-like dermatitis, allergic perioral dermatitis, perioral seborrheic dermatitis, flight attendant disease.

Kataliya.ru will tell you about the causes and treatment of perioral dermatitis in adults and children. About what therapeutic diet is indicated to improve the patient's condition.

What is perioral dermatitis

Perioral dermatitis is a condition in which papules or pustules appear in the mouth and chin in the form of pink dots and pimples. The disease is chronic. Therefore, having acquired this type of dermatitis, one should prepare for subsequent relapses.

Perioral dermatitis is a rather rare disease, affecting mainly the female part of the population under 40 years of age.

Causes of perioral dermatitis

The following factors can provoke the development of the disease:

  • the use of potent glucocorticosteroid drugs externally;
  • the use of inhaled glucocorticosteroids;
  • constant application of decorative cosmetics;
  • exposure to ultraviolet radiation;
  • the presence of foci of chronic infection;
  • complicated infectious diseases;
  • hormonal imbalance;
  • long-term use of contraceptive drugs;
  • the use of toothpastes with fluoride;
  • use of amalgam in dentistry - it contains mercury compounds;
  • frequent use of chewing gum;
  • the use of various solutions for rinsing the mouth.

Infected or not

This type of dermatitis does not pose a danger to others. Therefore, it is safe to say that it is not contagious.

Typical symptoms

Perioral dermatitis on the face manifests itself in the form of the following symptoms:

  • feeling of tightness of the skin in the mouth and chin;
  • itching and burning in the area of ​​the nasolabial triangle;
  • redness of the skin in the lower part of the face;
  • the formation of papules and pustules with a diameter of 2-3 mm;
  • pimples with transparent or purulent contents;
  • peeling of the skin in the affected area.

At an early stage, pimples can be single, very small in size. Over time, they grow, merge with each other.

It's important to know! If the patient is not given treatment, the skin begins to coarse, become covered with age spots. In rare cases, the lesion extends to the eyelids, then the disease poses a danger to the visual apparatus.

Diagnostics

To establish an accurate diagnosis, the patient should undergo the following studies:

  • clinical analysis of blood and urine;
  • blood chemistry;
  • bacterial culture with determination of sensitivity to antibacterial drugs;
  • complex of serological reactions.

Additionally, the following analyzes may be required:

  • bacteriological examination of intestinal microflora;
  • biopsy of the skin.

In addition, the patient can be referred for consultation and examination to such specialists:

  • endocrinologist;
  • gynecologist;
  • neuropathologist;
  • gastroenterologist.

Based on the results of the studies carried out, an accurate diagnosis is established and the necessary treatment is prescribed.

Treatment methods

Therapy for perioral dermatitis requires a lot of patience, since the disease brings significant discomfort from an aesthetic point of view and takes a very long time to heal.

Effective ointments and creams

For the treatment of perioral dermatitis in adults and children, anti-inflammatory and drying topical drugs are used, such as:

  • Ointment Protopic(immunosuppressant). Apply to affected areas 2 times a day.
  • Elidel cream(anti-inflammatory). Treat leather 2 times a day.
  • Gel Metrogyl(antibacterial external agent). Apply to problem areas 2 times a day until the rash disappears completely. Typically, the course of treatment takes up to 2 months.
Photo of perioral dermatitis on the face of a woman

Preparations in tablet form

The following medications can alleviate the condition:

  • Loratadin. Blocker of histamine H1 receptors. It has antiallergic, antipruritic, antiexudative effect. Take 1 tablet daily 10-15 minutes before meals. On average, the course of treatment takes about 1 month.
  • Suprastin. Blocker of histamine H1 receptors. Antiallergic drug. 1 tablet 3 times a day. The duration of admission is determined by the attending physician.
  • Doxycycline. Semi-synthetic antibiotic of the tetracyclines group of broad spectrum of action. 1 tablet 2 times a day until the signs of the disease disappear completely. After that, you should drink 1 tablet once a day for 1 month.

Folk remedies

Together with medications in the treatment of perioral dermatitis, it is useful to use folk remedies. The most effective recipes are:

  • Aloe juice. A fresh stem of aloe must be chopped to a gruel consistency. Squeeze the juice from it with gauze. Add honey and rubbing alcohol (all ingredients must be in equal proportions). With a ready-made product, wipe the affected areas on the skin 2 times a day.
  • Propolis. You need to mix propolis with any vegetable oil in a 1: 4 ratio. Heat until the propolis is completely dissolved, cool. Apply to problem skin 3 times a day.
  • Chamomile and calendula. You should take 1 tablespoon of dried flowers of calendula and chamomile, pour 2 cups of boiling water. Leave to infuse for 1 hour, then strain. Take clean cheesecloth, soak in the prepared infusion. Apply to face in the form of a compress, hold for 15 minutes.
  • Birch buds. You will need to take 1 tablespoon of birch buds, pour the raw materials with 1 glass of boiling water. Infuse for 1 hour, then filter. With the prepared infusion, wipe the affected areas on the face before applying the medicinal ointment or cream.

Note! The regular use of traditional medicine gives a good result, but they must be used in combination with medications. They are not suitable as an independent method of treatment.

Features of the treatment of perioral dermatitis in children

To save a child from perioral dermatitis, it is required to carry out the following activities:

  • Completely abandon the use of cosmetics and chemicals. These can be bath cleansers, conditioners, powders, fluoride toothpastes, shampoos, and creams.
  • Provide your baby with a hypoallergenic environment. You need to dust off every day, do wet cleaning, ventilate the nursery, remove all soft toys, and try to limit contact with pets.
  • Review the diet. Exclude citrus fruits, red fruits, chocolate, sweets, and, if possible, dairy products from the daily menu.

Direct treatment should include:

  • Taking antihistamines to relieve itching, redness.
  • With an advanced form of dermatitis, antibiotics are prescribed for oral administration.
  • Ointments high in zinc.

It's important to know! In the treatment of perioral dermatitis in childhood, hormonal drugs are not used.

Treatment for oral dermatitis in pregnant women

During pregnancy, this form of dermatitis usually occurs in the first trimester. Treatment in this case causes difficulties, since most of the drugs are contraindicated when carrying a child. It is required to select harmless external agents and physiotherapy procedures. In addition, it is necessary to follow a diet, limit the time spent in the sun, and refuse to use cosmetics.

How Long Is Perioral Dermatitis Treated?

This form of the disease is treated for a fairly long period - at least 1-2 months. It all depends on the severity of the disease and treatment tactics. Therefore, if possible, look for a good specialist and follow all his recommendations. Nutrition is very important, which we will discuss below.

Diet for perioral dermatitis

A special diet is the most important part of the treatment of perioral dermatitis.

The daily menu should include:

  • light soups;
  • fermented milk products;
  • porridge;
  • steamed vegetables;
  • fresh vegetable salads;
  • dried bread;
  • pasta;
  • fresh berries compotes;
  • boiled poultry and river fish.

The following foods are required to be excluded from the diet:

  • sweets;
  • alcoholic drinks;
  • caffeinated drinks;
  • citrus;
  • sea ​​fish;
  • fat meat;
  • eggs;
  • mushrooms;
  • fried, pickled, smoked dishes.

Sample menu for the day

Breakfast: fresh vegetable salad, 1 glass of compote.

Dinner: light soup with a slice of toasted bread, steamed fish or meat cutlet, 1 glass of kefir.

Afternoon snack: green apple with 1 glass of compote or jelly.

Dinner: pasta with boiled chicken breast, 1 glass of kefir.

Possible complications

Exacerbation of perioral dermatitis can lead to stress and neurosis due to physical and aesthetic discomfort. If the rash is damaged, there is a risk of infection entering the body. Also, after the disappearance of the rash, scars and scars may remain.

The causes of perioral dermatitis, also called perioral rosacea, are still unknown. However, there are known risk factors that, together, can lead to the appearance of oral dermatitis:

  • the use of creams and ointments containing steroid hormones, for example, Prednisolone. This reason leads to the appearance of a rash most often, therefore, prolonged use of the funds of this group is considered one of the diagnostic signs;
  • the use of decorative cosmetics (foundations, make-up bases or lipsticks) that contain potential allergens. Due to the fact that cosmetics play a significant role in the pathogenesis of the disease, perioral dermatitis, a photo of which you can see below, is sometimes called the "disease of flight attendants";
  • negative impact of natural factors (high air humidity, frost or excessive insolation). The disease can appear after moving to another climatic zone or with a sharp change in the weather;
  • perioral rosacea is often observed in patients suffering from disorders of the gastrointestinal tract, for example, prolonged constipation, dysbiosis, gastric and duodenal ulcers;
  • often the main cause of the development of the disease is the microorganisms that live in the hair follicles. It can be fungi or bacteria, which are often found when analyzing the data of bacteriological inoculation of the contents of the rash. However, no specific microorganisms that cause dermatitis have been found;
  • perioral rosacea is exacerbated during periods of stress or after severe emotional distress. Most likely, this is due to impaired neurohumoral regulation of the body;
  • the use of low-quality toothpastes containing fluoride leads to the appearance of a rash;
  • the state of the endocrine system plays a significant role in the occurrence of the rash. Oral dermatitis in women often occurs during premenstrual syndrome, while taking oral contraceptives, or with hormonal disorders.

Cosmetics play an important role in the development of perioral dermatitis. Particularly "dangerous" are:

  • cinnamon-scented products;
  • cosmetics based on petroleum jelly and paraffin;
  • products containing sodium lauryl sulfate.

Most often, women under the age of 40 suffer from the appearance of a rash around the mouth. Perioral rosacea rarely develops in men.

Symptoms

The main symptoms of the disease are as follows:

  • a burning sensation and tightness of the skin in the area of ​​the lips. The burning sensation is most pronounced in the area of ​​the fold between the mouth and nose;
  • eruptions appear around the red border of the lips in the form of red papules filled with fluid. Papules can be located singly or in groups;
  • the skin around the mouth becomes inflamed. Small scales form on the inflamed areas, which fall off over time. It is not recommended to remove scales on your own: this can lead to the appearance of scars or hyperpigmented skin areas;
  • One of the most characteristic symptoms of perioral dermatitis is a thin, clean strip of skin around the lip line;
  • if the affected areas become infected, the rash turns into abscesses.

People who develop dermatitis on their face often experience severe psychological discomfort. Worrying about a cosmetic defect leads to the fact that patients stop communicating with others, withdrawn and even quit their jobs. Therefore, treatment should not be postponed, otherwise the damage to the skin may become irreversible and unattractive scars will appear on the face. This happens especially often if a bacterial infection joins the dermatitis.

Diagnostics

Perioral rosacea

To diagnose perioral dermatitis, a dermatological examination and dermatoscopy are performed. It is important to remember that dermatitis in women can be easily confused with acne, rosacea, demodicosis, acne, and atopic and contact dermatitis. Therefore, before starting treatment, it is necessary to consult a specialist.

Clinical tests are rarely used to diagnose perioral dermatitis. This is due to the fact that changes in blood biochemical parameters are uncharacteristic for the disease. Sometimes, when a bacterial infection is attached, an increase in the erythrocyte sedimentation rate is noted.

To determine the microflora of the affected skin areas, bacteriological sowing of the contents of the papules is performed. Often, patients are found to have fungi of the genus Candida, but doctors do not attribute them to the causative agents of the disease. Fungal infection is thought to be a predisposing factor and not a cause of oral dermatitis.

Perioral dermatitis during pregnancy

Often, perioral dermatitis on the face in women appears during pregnancy. This is due to the following factors:

  • changes in hormonal levels associated with the adaptation of the body to bearing a fetus;
  • physiological decrease in immunity, observed in the first months of pregnancy.

Usually the disease appears in the first trimester of pregnancy. Antibiotics and many other medications should not be used to treat dermatitis during this period. Therefore, an individual therapy plan is developed for each patient.

Often, dermatitis goes away without treatment after the end of the period of physiological immunodeficiency in pregnant women. However, if the rash is causing severe discomfort, you should see your doctor. Treatment of perioral dermatitis on the face during pregnancy without first consulting a doctor is unacceptable.

It is important to remember that the places where the rash is localized in pregnant women tend to be richly pigmented, which can lead to the appearance of a cosmetic defect. Therefore, with oral dermatitis, pregnant women should avoid exposure to direct sunlight.

Features of the course of perioral dermatitis in children

In children, perioral dermatitis on the face has its own characteristics. The rash is rarely red; it is usually pink or brownish. Therefore, children are mandatorily assigned to conduct bacteriological sowing of the contents of papules and dermatoscopy to clarify the diagnosis and exclude contact or atopic dermatitis. Most often, oral dermatitis in a child proceeds without discomfort. In rare cases, itching is noted in the area of ​​the rash.

Perioral dermatitis in a child is usually associated with the use of inhalers and sprays, which include glucocorticosteroid hormones. It is important to note that during the period of treatment with glucocorticosteroids, symptoms of oral dermatitis are usually absent: the disease debuts a few days after the end of therapy. Also, pediatricians note that perioral dermatitis in infants can develop after using a nipple in frosty or windy weather. Some doctors associate dermatitis in children with caries: there is a chronic inflammatory focus in the child's body, which reduces the immune defense and leads to the appearance of a rash.

Perioral dermatitis in a child requires consultation with a pediatrician: the appearance of a rash may indicate changes in hormonal levels or a decrease in immunity.

Therapy

Perioral dermatitis in a child

In order to prescribe the treatment of perioral dermatitis on the face, the doctor must determine the cause of the disease. If the dermatitis is caused by the use of ointments that contain corticosteroids, the patient must stop using these drugs. Therefore, at the first stage of treatment, a number of patients experience a withdrawal syndrome characterized by severe itching and swelling of the affected area.

At this point, patients may decide to return to steroid use. However, this is unacceptable: the symptoms of oral dermatitis will return in an even more severe form, and any ointments for dermatitis should be applied after consultation with the attending physician.

Refusal of cosmetics is recommended, it is especially important to stop using tonal creams and make-up bases for a while. It is permissible to use creams that include sunscreen components.

Drying agents, for example, ointments containing zinc, are highly effective in the treatment of perioral dermatitis. Such ointments for dermatitis, such as Tsinocap or Tsinodol, quickly relieve itching and help quickly get rid of the rash.

Antiallergic agents are used to relieve discomfort. Due to the fact that the occurrence of oral dermatitis may be associated with the experience of stress, sedatives are prescribed.

Cleansers containing sodium lauryl sulfate are completely excluded. Oil-based products can be used to cleanse the skin. If the disease is mild, it is possible to wipe the affected areas with decoctions of medicinal herbs, for example, chamomile.

If the disease is complicated by a bacterial infection, antibiotics are prescribed. The duration of their admission is determined by the doctor. Usually the course of antibiotic therapy is two to three months. Additionally, as needed, immunomodulatory agents are prescribed, as well as drugs that restore the microflora of the gastrointestinal tract.

It is important to remember that if untreated, the rash can persist on the face for months or even years. In this case, the disease proceeds with exacerbations and periods of remission. Attempts to treat dermatitis on their own with inappropriate ointments lead to the fact that the affected skin becomes thick, rough and bumpy, covered with age spots and inflamed areas. Eliminating the effects of self-medication will be much more difficult than getting rid of dermatitis!

Forecast and preventive measures

Oral dermatitis may take several weeks or even months to heal completely. It is possible that in the future, after the use of steroids or poor-quality cosmetics, the rash will appear again. It is important that the use of any ointments for perioral dermatitis should be carried out with great care, especially in patients prone to allergic reactions.

  • rejection of bad habits. Smoking and alcohol abuse weaken the body, resulting in reduced immune defenses;
  • use of cosmetics recommended for patients with atopic or contact dermatitis;
  • you cannot injure the skin during cosmetic procedures. Exacerbation can be caused by scrubbing, peeling, or using some face masks;
  • toothpastes should be carefully selected. From pastes, which include fluoride, patients who have had episodes of perioral dermatitis, it is necessary to refuse;
  • it is important to take multivitamin preparations that help to strengthen the immune system. It is advisable to choose products that include B vitamins and vitamin E. These vitamins improve the condition of the skin and contribute to the rapid recovery of areas damaged by dermatitis.

Diet

Patients diagnosed with perioral rosacea are strongly advised to follow a diet that excludes allergenic foods.

In the acute period of the disease, the following products should be preferred:

  • kefir, fermented baked milk, yogurt and other fermented milk products. Yoghurts should be consumed natural, not containing dyes and preservatives;
  • porridge cooked in water with a little salt;
  • grain bread;
  • lean meat (chicken breast, turkey, etc.).

Strong coffee and tea, alcoholic beverages, smoked and canned foods, as well as meals rich in carbohydrates are excluded from the diet. It is advisable to reduce the amount of salt consumed. Fruits and vegetables can be added to the diet with caution. Exotic fruits that are strong allergens should not be consumed; citrus fruits must also be excluded.

Sometimes, to get rid of the disease, you have to completely change your lifestyle: if a person has perioral dermatitis, reviews say that the most effective treatment is a combination of antihistamines and a gentle diet.

ethnoscience

There are a number of alternative treatments for oral dermatitis. It is important to remember that such methods can only be used after consulting a dermatologist.

The following funds are considered the most effective:

  • medicinal lotions. For lotions, decoctions of calendula, chamomile and string are used. Soak a gauze pad with warm broth and apply to the damaged area of ​​the skin. Lotions do not relieve the rash: they can only significantly reduce the discomfort caused by the disease. However, people prone to allergies should be careful about using medicinal plants: they may contain strong allergens;
  • linseed oil. Linseed oil contains vitamins that have a beneficial effect on the regenerative capabilities of the skin and its general condition. The oil, warmed to a comfortable temperature in a water bath, is applied to a gauze napkin and applied to the skin. Flaxseed oil can also be used to remove makeup from the skin. On the Internet, advice is often found to use flaxseed oil mixed with honey. However, this recommendation cannot be followed: honey is a strong allergen and can aggravate the course of the pathological process.

Now you know about the causes and methods of treatment for perioral dermatitis. Do not think that a rash near the mouth can be ignored: its appearance may indicate a serious malfunction in the work of your body. Therefore, if suspicious symptoms appear, go to the doctor and strictly follow all his recommendations!

Many people are aware of the problem of painful pimples around the mouth. This is called "perioral dermatitis" and is treated with certain drugs. The disease often returns after treatment and affects new areas. The main symptoms are the appearance of a red rash around the lips, nose or eyes, as well as peeling of the skin. There are many reasons for the appearance of the disease, ranging from reduced immunity and ending with a neurotic disorder. It is important to identify the true cause of the deterioration of the skin condition; this may require the help of several specialists at once. Self-medication only in isolated cases can cure the disease, but most often it is possible to simply mask the symptoms.

Why does a rash appear?

Scientists have not yet been able to fully study the causes of the onset of the disease, whether it is contagious or not, but there are factors that provoke the appearance of a rash. Most often, women are susceptible to the disease (they may have rashes before menstruation), the elderly and young men under 15 years of age. In women at the age of 30, the disease is diagnosed 12 times more often than in men.

Experts have several versions of why it appears. One of them is an allergic predisposition, and the provoking factor is the frequent use of certain cosmetics. Means based on glucocorticoids and fluoride can adversely affect the health of an allergic person. In addition, the development of pathology is influenced by:

  • long stay in the open sun, as well as frequent visits to the solarium;
  • long-term use of contraceptives;
  • chronic diseases, which include sinusitis, tonsillitis;
  • poor dental health, including deep caries;
  • hormonal disorders;
  • tuberculosis, HIV infection.

Sometimes perioral dermatitis appears during pregnancy, which is difficult to cure due to the position of the woman. The reasons for its appearance are hormonal imbalance and lack of vitamins. Nutrition, climate and care cosmetics play a huge role. Sometimes the deterioration is observed after a sharp weight loss, the use of low-quality decorative cosmetics or a strict diet. Frequent stressful situations, as well as past serious illnesses, cause the development of rashes. Before treating perioral dermatitis, it is necessary to establish the cause of the irritation on the body.

With dermatitis on the face, it is possible to take an analysis from the opened bubbles. Sometimes they contain microorganisms of the genus fusobacteria, which is evidence of infection. A similar diagnosis is made in patients infected with a demodectic mite or a fungal disease.

How to identify a disease

Experts distinguish between several types of disease, each of which has symptoms and location. This type is characterized by a reddish rash around the mouth, nose, and chin. In children, the disease does not appear so often (only 7% of all registered cases), but it is easy to notice it. The skin on the face quickly becomes covered with small reddish pimples. After treatment, some of them may leave marks or pigmentation.

The manifestation of the disease

Symptoms of the disease are often similar to rosacea, allergies, acne, and other skin conditions. Signs of the disease are:

  • redness of the skin around the mouth, which intensifies in heat;
  • peeling of the dermis and discoloration to brown or bluish;
  • soreness, itching, or burning;
  • transition of small pimples to the cheeks, nose or forehead;
  • when the nodules rupture, first a clear liquid comes out, and then pus.

At first, a single rash may appear, then it spreads to healthy areas. Over time, the disease affects large areas, and several small spots coalesce. Untimely treatment of perioral dermatitis on the face causes deep tissue damage, which is fraught with pigmentation and irregularities.

Is the disease contagious? The disease can infect healthy people if left untreated. When treating the skin with special ointments, microbes die and the rash becomes safe for others.

Diagnostic methods

To find out what is the cause of the rash and how to treat it, you need to visit a dermatologist and get tested. It is easy to confuse pathology with acne or allergies on its own. A biochemical blood test most often does not show any abnormalities in the body with a skin disease. But it must be taken to identify a concomitant disease. In addition, the doctor, based on the results, will draw a conclusion about the general state of the body and immunity, in the doctor's certificate they note the disease under the code - ICD 10, which includes perioral dermatitis and rosacea.

An obligatory step is to examine the affected area by a dermatologist. If there is insufficient material for making a diagnosis, the patient is assigned a histological examination or scraping for bacteriological culture. In both cases, a small number of epidermal cells or purulent secretions are taken from the skin. Skin diseases are dangerous because they can be joined by another infection that causes dangerous consequences.

How to cure perioral dermatitis correctly

It is possible to cure rashes only with complex therapy. For this, the patient is prescribed the use of drugs for local and internal administration. However, a mild course of the disease, when only a few pimples are noticeable on the body, can be treated with ointments and creams. In advanced cases, it is recommended to visit other doctors - gynecologist, otolaryngologist, infectious disease specialist and endocrinologist. This is how it will be possible to identify abnormalities in the body and conduct effective therapy. Treatment of perioral dermatitis on the face is divided into 2 stages: zero and therapeutic. On the first, provoking factors are eliminated, and on the second, the therapy itself.

First step

Once the disease is diagnosed, it is important to stop using moisturizing cosmetics or glucocorticoid shampoo and fluoride toothpaste. Elena Malysheva advises to replace the care products with tar soap during therapy.


 Tar soap

After the abolition of the usual cosmetics, "withdrawal dermatitis" may occur, which manifests itself in large red spots on the face and severe itching. Many people are afraid of this phenomenon and they try to mask the problem with creams and cosmetics, which is why the treatment of perioral dermatitis on the face lasts a long time. A special diet that excludes junk food and, if possible, meat, eggs, citrus fruits, and alcohol will help relieve redness and swelling. It is not recommended to use a foundation in case of illness, as it will only aggravate the situation.

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It is possible to reduce itching around the mouth with the help of antihistamines - Suprastin, Zyrtec, Loratadin. It is allowed to wipe the skin with chamomile infusion or tea leaves to relieve inflammation and alleviate the condition. Before going outside on sunny days, it is imperative to apply on the skin a protective cream with a degree of protection of at least 30. Zinc ointment with such an ailment will relieve itching and dry ulcers on the body.

It is possible to apply creams, ointments or gels to the skin. For this, funds based on Metronidazole are prescribed, which are used to treat a clean face 2–4 times a day. Skin milk Protopic (at a concentration of 0.01 to 0.03%) will help relieve itching and burning sensation; the skin is treated with it several times a day. For a long time, zinc was used for treatment, now there are many drugs based on it, for example, Sken-Cap and Tsin dol. Levomekol for dermatitis is allowed to be used if there are no open wounds.

If itching interferes with sleep and causes a nervous condition, the doctor may prescribe sedatives - Novo-Passit or valerian extract. It will also be useful to undergo a course of reflexology or acupuncture. Such treatment of perioral dermatitis on the face is not always able to bring results. Severe damage requires the treatment of the skin with medications and oral pills.

Second phase

After eliminating all irritating factors, antibiotic therapy should be started. Most often, patients are prescribed Metronidazole, Azithromycin, Doxycycline, Minocycline, Tetracycline, or Azelaic acid. The treatment course should last at least 2 months, after which a second examination is required. The treatment regimen for perioral dermatitis is prescribed individually by the doctor, but most often it looks like this:

  1. Metronidazole. It must be used for 1 to 2 months several times a day, but the dosage should not exceed 1 gram per day for adults. The product is applied to the site of inflammation, the skin must be dry and clean.
  2. Doxycycline. The active substance quickly penetrates into the cells and destroys the causative agent of the disease. You need to use it 2 times a day, the maximum dosage is 100 mg. The first effect is noticeable within 2 hours after the first dose.
  3. Erythromycin ointment. This remedy is one of the safest medicines, it is allowed to treat even children. The drug is applied to the affected areas several times a day and left to dry.

With the help of Metronidazole therapy, it is possible to cure the disease in 60% of patients, and in the rest - to reduce symptoms and remove inflammation. As a rule, there are no side effects, but sometimes a white coating on the tongue or an unpleasant taste in the mouth appears.

In case of illness, Metrogyl gel has an anti-inflammatory effect and also destroys bacteria. It is necessary to apply only to the affected area, since the components of the medicine sometimes cause dryness and a feeling of constriction. It is possible to get rid of peeling with zinc-based talkers or retinoic ointment. Not recommended for use by pregnant women or children.

Perioral dermatitis during pregnancy is caused by a restructuring of the woman's body, so it is quite difficult to cure the disease. In addition, not all drugs are allowed for expectant mothers. In their case, it is necessary to consult not only a dermatologist, but also a doctor who leads the pregnancy.

Dermatitis in children

Perioral dermatitis in a child requires special care. The drugs approved for the treatment of adults at home are not always suitable for young patients. How to treat a disease in children? It is required to choose the dosage so that the medicine will benefit, and not harm the baby.


 Manifestation of the disease in children

The reasons for the appearance of a rash near the mouth in children are the same as in an adult. Children are more susceptible to the disease, since their immunity has not yet matured. Sores on the face can appear after a prolonged colds, nervous exhaustion or a change in climate. In infants, skin lesions are noted after skin chapping in winter or autumn. The disease can be triggered by hormonal disruption that occurred immediately after birth. It is impossible to accurately identify the reasons, so it is better to undergo a full examination and find out which system failed.

Symptoms of the disease are redness around the mouth, then pimples appear, causing itching and burning. Because of this, the child becomes moody, irritable, can refuse to eat and sleep. With dermatitis on the face in an advanced form, small pimples merge into large spots, become covered with pustules and acquire a bright red color. When a rash occurs, zinc ointment will have a beneficial effect on the skin.

In no case should you use topical steroid drugs! Such treatment only causes a worsening of the condition in both children and adults. To begin with, you need to make sure that the child does not wet his face with water, as well as cancel the lubrication of the face with creams and brushing the teeth with a fluoride paste. The main therapy consists in taking antihistamines (Suprastin or Loratadin), treating the skin with antibacterial ointments and antiseptic solutions (Bepanten, Metrogyl for perioral dermatitis, Chlorhexidine). As antibacterial drugs, Erythromycin or Metronidazole is prescribed in a small dosage. Levomekol for pathology in children will help relieve itching and burning, as well as remove redness. To do this, you need to apply an ointment for dermatitis to the affected area and apply a bandage. Additionally, it is recommended that the child be given vitamins to improve immunity.

Nutrition for illness

A special diet for perioral dermatitis plays an important role in the treatment. It is important to exclude certain foods and make the diet hypoallergenic. The following products should not be used for dermatitis on the face:

  • any fish, seafood and fatty meat;
  • oranges, lemons, tangerines;
  • soy products;
  • tea or coffee;
  • mushrooms;
  • pastries and sweets;
  • chicken eggs.

Seasonings should be avoided in the diet and it is better to limit salt. It will be useful to eat more vegetables and fruits. It is also recommended to refuse meat broth; during treatment, the soup should be cooked in vegetable broth. The ban applies to sweet soda and alcoholic beverages. They should be replaced with fruit drinks, compotes, green tea and clean water. The volume of liquid you drink must be at least 1 liter.

A rash near the lips looks unpleasant and gives a person a lot of unpleasant sensations. At the first sign, it is better to see a doctor and find out what it is. Do not be afraid of visiting several doctors at once - a comprehensive examination is sometimes necessary to make a diagnosis. During treatment, it is recommended to revise cosmetic products for skin care and diet, compliance with all the doctor's recommendations guarantees a quick recovery. Perioral dermatitis during pregnancy requires care, it is better not to experiment and discuss the problem with a specialist.

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Another name for the disease is perioral or rosacea-like dermatitis. Perioral dermatitis is characterized by the appearance of small papules and pimples on the skin around the mouth.

As the disease progresses, irritation and redness appear, papules grow over a larger area. This gives a person considerable discomfort: both physical and psycho-emotional.

Causes of the disease

Perioral dermatitis has been studied by specialists for a very long time, after which they came to the conclusion that the main reason is a decrease in the basic protective functions of the skin, after which it cannot withstand aggressive external influences.

Among the factors that can provoke such a phenomenon, one can single out:

  1. Too long and frequent use of toothpastes with a high concentration of fluoride in the composition.
  2. The systematic use of cosmetics that have a rough effect on the skin, for example, various scrubs.
  3. The passage of potentially harmful and dangerous cosmetic procedures, first of all, it concerns chemical exposure and mechanical peeling.
  4. The use of pharmacological or cosmetic products, which include hormonal-type components.
  5. Use of corticosteroids for medical reasons.
  6. The presence of seborrhea.
  7. Violation of the functioning of the digestive, vegetative-vascular or endocrine systems.
  8. Frequent exposure to direct sunlight or exposure to excessive UV radiation by other means.
  9. Change of residence, implying a sharp and radical change in climatic conditions.
  10. Taking contraceptives, leading to hormonal imbalances in the body.
  11. General deterioration in the state of immunity.

Causes of perioral dermatitis in children

As already mentioned, perioral dermatitis can also be observed in children, in this case, immediate consultation with a pediatrician is always required.

The reasons for such an ailment in young patients may be the following factors:

The causes of perioral dermatitis are not fully understood.

First symptoms and signs

The first sign by which one can judge the appearance of perioral dermatitis is a slight reddening of the face. It becomes more pronounced with the use of spicy and hot dishes.

After some time, it acquires a brighter shade, and the skin becomes covered with small pustules of 0.4-2.5 mm, similar to acne. Over time, they turn into crusts and peel off.

During the course of the disease, the color of the rash changes from red-brown to light brown.

The localization of the rash is more or less symmetrical on the chin, nasolabial folds, nearby areas of the lips, cheeks, and does not merge together. On the temples and the bridge of the nose, single rashes may be observed.

Diffuse inflammation of the entire face occurs. A specific feature of the disease is a whitish strip between the labial border and the area of ​​inflammation.

The disease begins with the appearance of pimple-like bumps, pink or bright red.

Symptoms

The clinical picture in each case looks individual, since the main symptoms can be pronounced or appear insignificantly.

Usually, the following signs indicate the presence of perioral dermatitis:

Perioral dermatitis is characterized by rashes in the mouth and chin. The rash is usually small and resembles small pimples or pinkish bumps. The rash can spread to the forehead, nose, and cheeks, but this is not common.

Rashes are somewhat similar to acne, but in this case we are not talking about acne. The skin under the papules becomes reddish and rough to the touch. After the pimples disappear, dark spots remain on the skin.

Oral dermatitis manifests itself with the following symptoms, in which the skin becomes covered:

  • small papules;
  • acne;
  • redness;
  • irritation;
  • the area of ​​the lesion increases;
  • red pimples merge with white heads and form pustules;
  • transparent scales appear on inflammations.

Other manifestations of oral dermatitis:

  • burning, itching;
  • pain;
  • feeling of tightness.

Sometimes rashes appear on the bridge of the nose, around the eyes, and even on the surface of the entire face. To make the correct diagnosis, a bacterial culture of the contents of the rash and scraping is necessary.

Perioral dermatitis, as we have already noted, is characterized by the appearance of a rash in the area around the mouth. This rash is small in size, it looks like small pimples or a lumpy type of point (pink or red).

Such a rash can appear in the area of ​​the chin, forehead, nose or cheeks, which, however, happens much less often. The rash itself bears similarities to acne (or acne), but it is not acne.

The skin located directly under the bumps or pimples often also has a pink or red tint; when feeling it, a pronounced roughness can be determined, which is ensured by the appearance of small but multiple bumps along its surface.

Gradually, with the course of the process and the changes that accompany it, age spots remain on the skin after such pimples and bumps.

The strip of skin located near the lips themselves, as a rule, is not affected, in rare cases, the defeat of this area, although it is noted, is on a much smaller scale than the skin located at some distance from the mouth.

Thus, a kind of "ring" is created that surrounds the mouth. Sometimes the skin around the eyes, especially in the temples, is also affected by perioral dermatitis.

Diagnostics

A specialist dermatologist is involved in the diagnosis and diagnosis, usually the following methods are used for this:

To diagnose perioral dermatitis, anamnesis, physical examination and dermatoscopy are performed. In some cases, a histological examination may be required.

If there is a suspicion of a secondary infection and the need to identify an infectious agent, bacteriological inoculation of scrapings from the affected areas of the skin and / or the contents of the elements of the rash is carried out.

The specific causative agent of perioral dermatitis has not been established. Patients may have an increased contamination of the skin with microorganisms, as well as fungi of the genus Candida, acne (Demodex folliculorum).

Differential diagnosis of perioral dermatitis with diseases such as sarcoidosis, rosacea, atopic dermatitis, seborrheic dermatitis, acne, eczema, herpes simplex, demodicosis, acne vulgaris is required.

Treatment

Let's figure out how to still treat oral dermatitis? The duration and effectiveness of treatment depends on the literacy of the selection of drugs and on the severity of the dermatitis. The course of therapy can last up to 2 months. The sooner measures are taken to eliminate the disease, the more effective the result will be.

Traditional treatment of the disease can be conditionally divided into 2 stages: "zero therapy" and drug therapy.

Therapy is prescribed by a specialist, usually the choice of drugs for treatment is carried out taking into account the individual characteristics of the course of the disease. The duration of the course varies from 2-3 weeks to 2-3 months and depends on many factors, including the stage of the disease at which professional medical care was sought.

In some cases, for example, when climatic conditions change, multiple relapses can be observed, therefore, after completion of treatment, it is required to undergo a course of preventive measures aimed at maintaining the achieved positive result.

The main methods of getting rid of perioral dermatitis, which are practiced today, are discussed in detail below in the relevant chapters.

Zero therapy

Zero therapy refers to one of the first stages of treatment, which implies that the following conditions must be met:

  1. Purchase and use of fluoride-free toothpaste.
  2. Discontinuation of a course of corticosteroid treatment, if it has been practiced before.
  3. Refusal to use decorative cosmetics on the affected areas of the face.
  4. The use of special products for washing that do not cause an allergic reaction even in the absence of a tendency to it.
  5. Compliance with a special dietary complex.

Treatment of any skin disease, including perioral dermatitis, is a long process. The duration of treatment is at least one and a half months. In advanced cases, treatment can last up to three months.

A doctor should treat dermatitis, and the sooner you go to him, the faster a positive result will be obtained.

Treatment, organized according to all the rules and leading to the disappearance of the rash, does not guarantee that perioral dermatitis will no longer make itself felt.

Relapses can happen. So, where should you start the treatment of oral dermatitis, if the doctor has made this diagnosis?

To begin with, the so-called zero therapy is carried out. It is necessary to stop using any cosmetics and medicinal ointments, fluoridated toothpaste.

The rash may progress after corticosteroid withdrawal, but things should get better after a few weeks.

Keeping in mind the allergic nature of dermatitis, antihistamines can be taken during zero therapy.

If zero therapy fails, antibiotics are used. In case of oral dermatitis, antibiotics are quite an effective measure, they can completely cure this disease.

Your doctor will prescribe a treatment that includes Minocycline or Doxycycline Tablets, Tetracycline or Metronidazole Tablets, or Metronidazole Cream. Instead of cream with Metronidazole, it is allowed to use Erythromycin gel.

The results of antibiotic treatment can be seen within three weeks. By this time, the skin noticeably improves, but it is impossible to stop treatment ahead of time.

The first manifestations of this ailment can be eliminated in a couple of days, but in order to completely get rid of its progressive form, you will have to spend a couple of months on therapy.

Treatment of perioral dermatitis begins with replacing creams, shampoos and other cosmetics with chemically neutral ones. After that, the doctor waits for a couple of days, and then prescribes antibiotics, special ointments, sunscreens and antihistamines to the patient.

Gels for psoriasis and acne will not help cure dermatitis.

It is possible to reduce rashes in children and adults with the help of traditional medicine. Chilled infusion of chamomile, celandine, calendula or St. John's wort is used to treat reddened skin.

If there is an allergy to the listed plants, then a 1% solution of boric acid is applied to small pimples. Special attention is paid to skin care for oral ailments.

You need to get wet easily after washing your face. Before leaving the house, apply indifferent powders and neutral cooling gels to the skin.

Ointment for perioral dermatitis

In the treatment of skin ailments, antibiotic-based creams are excellent. The most famous ointment for oral dermatitis is metronidazole.

It is applied to places affected by the disease, 2 times a day. Erythromycin has a similar effect.

It is rubbed into the chin and lip area 2-3 times a day. If the inflammatory process does not stop, the doctor prescribes face gels with pimecrolimus.

The product must be used with caution, because it lowers local immunity.

Diet for perioral dermatitis

Vegetarian food is considered ideal. Foods classified as allergenic should be excluded from the menu.

The diet for perioral dermatitis should be balanced, i.e. include boiled meat, porridge on water, vegetables. Fruit is rare.

Spicy, fried, fatty and sweet foods should be removed from the diet. If a child under 10 years of age is treated for an ailment, all dairy products are excluded from the menu.

The diet should be adhered to for 3-4 months after the disappearance of the symptoms of the disease.

When confirming the diagnosis, the first step is to stop taking medications that include corticosteroids. In addition, you should stop using decorative cosmetics and toothpaste containing fluoride.

Treatment of perioral dermatitis is medication. In the presence of itching, antihistamines are indicated, and the use of sedatives may also be required.

With pronounced swelling, diuretic drugs may be prescribed. When a bacterial infection is attached, local or systemic antibiotics are used.

The intake of vitamin complexes, immunomodulators is shown.

For the local treatment of perioral dermatitis, drugs with a cooling effect in the form of a cream are used, as well as infusions of medicinal plants (calendula, chamomile, celandine, St. John's wort, etc.), lotions from a solution of boric acid.

Treatment of perioral dermatitis lasts from several weeks to several months, depending on the severity of the pathological process. Since the disease is prone to recurrence (especially when using cosmetics, lowering immunity and changing climatic conditions), patients are advised to follow preventive measures.

Treatment of perioral dermatitis is long-term, the duration of therapy can be several months and depends on the severity of symptoms.

Perioral dermatitis should be treated as directed by a dermatologist. You need to see a doctor as early as possible, the effectiveness of therapy and the speed of recovery depend on this.

It should be borne in mind that even the correct treatment does not exclude the likelihood of relapse of the disease, but they have an easier course and are easily stopped.

Treatment of perioral dermatitis excludes the use of steroid ointments and creams - this must be remembered.

So, how to treat the disease:

  • "Zero" treatment. This is the first step after diagnosis. The patient stops using any ointments, creams and cosmetics, not to mention steroids. The fluorinated paste is replaced with a regular one. After a brief deterioration in the condition, improvement soon follows.
  • Antihistamines. A dermatologist may prescribe medications for allergies (Suprastin, Kestin, calcium chloride, sodium thiosulfate, etc.).
  • Antibacterial therapy. Antibiotic treatment with this diagnosis is quite effective. The progression of the disease is stopped by Metronidazole gel or cream (0.75%), Erythromycin gel (2%). The prescribed drug is applied twice a day until the rash stops. Doxycillin or Minocycline antibiotics may be given internally. The initial dose is set by the doctor (usually 100 mg twice a day until the rash stops), the maintenance dose is 100 mg once a day for a month and 50 mg once a day for another one. Metronidazole and tetracycline may be administered orally. An improvement in skin condition is observed three weeks after the start of antibiotic therapy.
  • Skin care. Treatment of the disease involves gentle, gentle facial care. You should wash your face with ordinary, moderately warm water. You cannot rub your face with a towel, the skin should be slightly blotted. On the recommendation of a dermatologist, you can use neutral talc and powders, moisturizers that do not contain substances that can aggravate the symptoms.
  • Phytotherapy. In an acute course, lotions with chamomile infusion (if there is no allergy to the plant) or 1% boric acid will help treat the disease and relieve symptoms. Washing and compresses with infusions of celandine, calendula and St. John's wort are effective.
  • Normalization of the work of the whole organism. If foci of infection are present, concomitant diseases should be treated. Treatment also includes normalization of work, endocrine and nervous systems, gastrointestinal tract. The doctor may prescribe the intake of fortifying and immunomodulating drugs, drugs to maintain the central nervous system. It is recommended to treat perioral dermatitis in conjunction with a course of vitamin therapy (vitamins B, A, C, folic acid).
  • UV protection. The treatment is not compatible with constant exposure of the skin to direct sunlight, as ultraviolet light only aggravates the symptoms. In summer, sunscreen with a sun protection factor of 30 or more should be worn.

The therapeutic scheme for a child is similar to that for adults.

In general, the prognosis is favorable, since perioral dermatitis is not a health hazard and, in some cases, goes away on its own.

One way or another, for any manifestation of characteristic symptoms, you need to contact a dermatologist as soon as possible so that he can make an accurate diagnosis and prescribe adequate treatment.

Treatment of oral dermatitis should be carried out in a complex and stepwise manner. During preparation for treatment, the doctor cancels all hormones, cosmetics and personal care products.

The epidermis needs to rest. The use of hormonal agents should be canceled gradually in order to avoid exacerbation of the pathology.

Proper facial skin care is important. If the manifestations of oral dermatitis are mild, a decoction of chamomile and sage can be used. In case of complicated symptoms, it is better to use special emulsions with an oil base. In case of acute manifestations, it is possible to use naphthalene-tar paste 2%.

Antibacterial agents for oral dermatitis are used for about two months. The course of treatment and methods are determined by the doctor individually for each patient.

But additional drugs are also needed:

In the presence of infectious foci, it is necessary to treat concomitant pathologies, as well as normalize the endocrine and nervous systems, and the work of the gastrointestinal tract. For the treatment of oral dermatitis, immunostimulating drugs are also prescribed. Monthly courses of vitamins of group B, C, A, folic acid will help.

In especially severe cases, therapy is supplemented with physiotherapy, cryomassage and other medical procedures.

Treatment for oral dermatitis during pregnancy

Treatment is certainly necessary for perioral dermatitis, because without it, the rash can remain on the skin for many months or even years.

Meanwhile, adequate therapy for the disease often provides the ability to quickly get rid of the rash, and for a long time.

Possible complications and consequences

Due to the fact that this form of dermatitis is quite resistant to treatment, as a result, the patient may become irritable, he becomes depressed, nervous, depressed.

Aesthetically, the face does not look attractive. This is a chronic disease, and each subsequent relapse may have more pronounced manifestations.

The face after incorrect treatment remains with scars and age spots. Skin areas affected by dermatitis become dry and pale. But in most cases, the prognosis of treatment is favorable, without serious consequences.

There is a separate article on how to treat toenail fungus on our website. All about the reasons for the appearance of moles on the body at this address.

For perioral dermatitis, a recurrent course is characteristic, while with relapses of the disease, more intense rashes and more painful sensations accompanying the appearance of a rash may be observed.

With inadequate treatment of perioral dermatitis, age spots and scars may remain on the skin.

Prophylaxis

To prevent the development of perioral dermatitis, you should limit the use of glucocorticoid creams for the treatment of seborrheic dermatitis, acne and rosacea. This is especially true for predisposed patients with chronic infectious diseases or hormonal disorders.

In order to prevent the development of perioral dermatitis, it is recommended:

  • timely treatment of diseases of internal organs, especially of the digestive system;
  • avoiding the use of drugs for external use (ointments, creams), which include corticosteroids;
  • refusal to abuse decorative cosmetics;
  • refusal to use low quality cosmetics;
  • refusal to use fluoride toothpastes;
  • rational nutrition (with limitation of fatty, salty, spicy foods, alcoholic beverages);
  • compliance with the rules of personal hygiene.

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For those who have cured oral dermatitis, the following preventive measures should be followed to avoid relapse:

  • refuse to use corticosteroid ointments, creams to neutralize skin diseases on the face;
  • follow a diet and do not forget about personal hygiene;
  • treat rosace-like manifestations with drugs without hormones;
  • limit the use of cosmetics with allergic ingredients;
  • use products that protect the skin from ultraviolet radiation;
  • less often brush your teeth with fluoride pastes.

Oral dermatitis is treated in a complex manner. The prognosis is favorable if the treatment is started on time.

Diet

You should stop drinking tea, coffee, alcoholic beverages, citrus fruits, eggs, mushrooms, fish, sausage products, canned food, yeast dough products, spices, limit the use of salt and sugar.

To normalize metabolism, patients need a plentiful drinking regimen.

To eliminate the symptoms of oral dermatitis, the specialist also prescribes a hypoallergenic diet. If there is no effect, it is replaced by short-term therapeutic fasting. The scheme is selected individually.

Spices, smoked, spicy, fried foods are excluded from the diet. Food should be rich in vitamins.

Preference is given to plant-based cooked food. Limit mushrooms, carrots, eggs, fish, caviar, soy, salt, sugar.

You can eat coarse bread, dairy products, cereals, beans, vegetables, green fruits, boiled lean meat.

The patient should drink two liters of fluid a day to normalize the intake of trace elements in the tissue.

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