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.

As shown

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.

Galina Romanenko

Venous trophic ulcers

The most common are venous trophic ulcers. Usually they develop on the feet of a patient suffering from varicose veins Varicose veins - the operation is inevitable? . Size of trophic ulcers may be different depending on the duration of the disease and the presence of infection. Subjective symptoms suggestive of progressive disorder of blood circulation in the limbs include: increasing swelling and heaviness in the legs, more frequent cramps, burning sensation, the heat in the feet. The objective symptom is the appearance of bluish or purple spots on the legs; sometimes formed large areas of hyperpigmentation, which may indicate eczema or dermatitis. The skin thickens and becomes painful and shiny in appearance. Because of the spread of inflammation to the skin the fatty tissue, in addition, it becomes less mobile; developed hyperemia and hyperthermia Hyperthermia - when the body is overheated .

Lymphostasis may develop, due to which lymph percolates through the skin and on its surface appear wet spots. Lack of treatment and minimal trauma lead to the formation of small ulcers covered with dry crust, under which there is a wet red skin surface. As soon as the disease progresses, the shape changes of venous ulcers and the area affected skin increases. Typically, this is due to the expansion of the boundaries of a single ulcer, but it happens that two or more sores "merge" into one.

Sores can reach enormous size, even cover the entire foot. Deepening ulcers may be accompanied by severe pain, which sometimes have to fight using opioid analgesics.

Atherosclerotic sores

These ulcers develop as a result of a prolonged lack of supply of oxygen and nutrients to certain areas of the skin and subcutaneous tissue. This occurs due to atherosclerosis Atherosclerosis - a chronic disease of the arteries   blood vessels of the lower extremities; such a violation is most common in older men.

Diabetic ulcers

Approximately 3% of venous ulcers are diabetic. They are often preceded by the appearance of scratches, bruises, minor wounds, burns.

Hypertensive ulcer

These sores develop on the background of hypertension Hypertension - Control your blood pressure ; they are often called idiopathic ulcers. Typical hypertensive ulcers appear as symmetrical spots on both legs. Often they are so painful that can trigger the development of neuropsychiatric disorders. In the absence of adequate treatment, ulcer will continue to increase.

Neurotrophic ulcers

Neurotrophic ulcer formation in patients with injuries of peripheral nerves, or vertebrate. These ulcers are relatively small in size, but they are deeper than others. In form they resemble volcanic crater; bottom ulcers can reach the muscles and even bones. Discharge from neurotrophic ulcers have a foul odor.