Perioral dermatitis is a fairly rare disease, with which women, aged between 20 and 40 years old, are mostly confronted. For this pathology, the appearance on the skin around the mouth of the peculiar rashes, which can also sometimes be localized in the nasolabial folds, on the cheeks, near the eyes, on the nose and temples. In severe cases, the skin of the entire face is affected.
Symptoms of perioral dermatitis
Eruptions of perioral dermatitis look like single or grouped pustules or nodules of a spherical shape reminiscent of acne. These formations are noted against normal or hyperemic skin. In this case, the color of the skin and rash can change along the course of the disease: first the lesions are pinkish-red, then acquire a bluish or brownish tinge.
Pustules can be resolved and leave behind crusts, premature removal of which causes the appearance of hyperpigmentation. Rashes in some cases can be accompanied by a feeling of tightness of the skin, itching and burning, in other cases, there may not be such uncomfortable sensations.
Causes of perioral dermatitis
Allocate a number of various factors that can lead to the development of the disease, among which are the following:
- violation of the hormonal balance, including during pregnancy and long-term use of hormonal drugs (hormonal perioral dermatitis);
- chronic infectious diseases;
- disorders of the nervous system;
- diseases of the digestive system;
- increased insolation;
- change in climatic conditions;
- use of some cosmetic products, toothpaste with fluoride;
- defeat of the skin with a mite demodex;
- dysbiosis ;
- decreased immunity;
- hereditary factor.
How to treat perioral dermatitis?
Oral dermatitis is one of the hard-to-treat diseases that require long-term systemic therapy. This adversely affects the psychological state of patients: there is irritability, depression, insecurity. Improper or insufficient treatment of perioral dermatitis can lead to such complications as thinning or atrophy of the skin fragility of the vessels, the appearance of eczema, etc. Therefore, in order to get rid of the pathology, you should contact the dermatologist as soon as possible and undergo the necessary examinations to prescribe adequate therapy.
First of all, the cause of perioral dermatitis should be clarified and measures taken to eliminate it. It is mandatory to minimize the use of cosmetics, exclude the use of fluorine-containing pastes, restrict exposure to direct sunlight, etc.
In many cases, the treatment of this pathology requires the appointment of antibiotics for internal administration (eg, Doxycycline, Minocycline, Unidox Solutab, Tetracycline). Also often prescribed antihistamines, vitamin-mineral complexes.
External therapy is usually prescribed in conjunction with systemic treatment, but can also be administered separately for oral dermatitis and based on the use of ointments, creams or gels with antimicrobial and anti-inflammatory effects.
Quickly eliminate external manifestations with oral
An effective drug for perioral dermatitis is Metrogil gel, the active ingredient of which is metronidazole. The agent has bactericidal and bacteriostatic properties in relation to a large number of pathogens of skin infections.
At the final stages it is recommended to take a course of cryomassage procedures with liquid nitrogen.