- Perioral dermatitis - if the face is covered with a rash
What is perioral dermatitis, and why it appears
Perioral dermatitis - a chronic skin disease in which skin rashes appear, mainly around the mouth. But there are other "favorite" places rashes, for example, around the eyes or cheeks.
Suffer from this disease often young girls and women. It begins, as a rule, with puberty, when the background of hormonal changes and reduced immunity of the skin on the face appears pustular rash. In such cases, as many are convinced of this, well help creams and ointments with steroids (prednisone, hydrocortisone
Hydrocortisone - a drug that could save the life of the patient
, Dexamethasone, and others), particularly if they also contain antibiotics. But after a while they stopped to help the ointment and skin rash appears, fine, defies treatment. Perioral dermatitis can begin as from the use of inhaled steroids with bronchial asthma or hormonal eye ointments in various diseases of the eye.
The cause of perioral dermatitis - a reduced immunity of the skin. This opportunistic microflora, usually peacefully living on the surface of the skin begins to make its way deep into the skin, causing dermatitis.
Factors that increase the possibility of the beginning of the disease, is any inflammation in the body, for example, chronic tonsillitis
Chronic tonsillitis - inflammation of the tonsils
, Patients teeth and so forth, since these diseases are an additional source of the infection. Another factor contributing to the formation of perioral dermatitis, is a violation of hormonal background, which often causes a decrease in immunity. Therefore, women with gynecological problems are more prone to perioral dermatitis.
Perioral dermatitis was first described about 50 years ago, since the incidence of them in civilized countries has decreased considerably due to the fact that hormonal ointments were appointed strictly on the testimony. In our country, this, unfortunately, did not happen, and perioral dermatitis is now experiencing its heyday.
Perioral dermatitis starts slowly, with the appearance of fine single or grouped reddish elevations on the skin (papules), sometimes with purulent contents (this kind of rash called pustules), most symmetrically arranged around the mouth. A feature of perioral dermatitis is that between the red border of the lips and rash sure there is a small strip of clear skin
Clean skin: the beauty of the need to fight
But in some cases, a rash appears on the other parts of the face, lying as often symmetrical (but there are also one-sided rash) in the cheeks, around the eyes, on the eyelids, the nose.
Patients usually do not experience severe itching or pain, most of them are worried about the appearance, they can not go to work or attend school due to the fact that a person is covered by their rash.
Increase rash lasts for several months, with the hormone ointment usually does not help, but its abolition condition gets worse: it begins the so-called withdrawal - the emergence krupnopyatnistoy rash, often covering the entire surface of the skin. To remove such a state does not possible, however it often leads to a nervous breakdown, as well as the formation of neuroses. Women would not want to give up the use of hormonal ointments and there is a vicious circle: the phenomenon of using hormones perioral dermatitis worse, but if they do not apply, there is a withdrawal.
Diagnosis of perioral dermatitis
Perioral dermatitis has very characteristic features. Furthermore, it is always associated with the use of steroid hormones. However, in order to prescribe the right treatment, you need to find out the condition of the body as a whole, whether a person has chronic inflammatory processes (source of infection), hormonal disorders (they contribute to decreased immunity). Therefore conducted a comprehensive examination of the patient: consultations with specialists (ENT, dentist, therapist, if necessary, other specialists), the general analysis of blood, urine, immunogram, and so on, depending on the detected changes.
Treatment of perioral dermatitis
Treatment of perioral dermatitis is carried out in two stages. In the first stage canceled hormones, and treat the syndrome. To do this, prescribe medication, reducing inflammation in the skin: antihistamines (eg suprastin, they block the release of the main agents of inflammation - histamine), in some cases, to reduce the swelling of the skin is prescribed diuretics. In addition, the patient must comply with hypoallergenic diet
Hypoallergenic diet - the salvation for the stomach
With the exception of sharp, sweet, fatty, fried, smoked foods and meat.
After the withdrawal effects are reduced to the fore the main manifestations of perioral dermatitis. For its treatment assigned different antibacterial agents for oral administration and externally. In recent years, most often used for this purpose metronidazole (Trichopolum), which has a fairly broad antibacterial spectrum and usually does not cause ingestion effects of dysbiosis, which is important to preserve immunity.
Prevent the occurrence of perioral dermatitis is only one way - never to use hormonal ointment for the treatment of facial skin diseases.