Perioral dermatitis; questions!?

[Hoots]

Hey everyone!

I found this thread through google, it seems to be the most relevant to what I'm going through. You would think they would have more about PD on the internet and more support for it!!

Anyways, a little back ground info about my PD: I had a breakout about a year and a half ago, it went away and now it's back! Ack. Mine definitely seems to be triggered by dry skin. I don't know if anyone has thought this too but it seems like cold weather (snow, and dryness and all that fun stuff) are what makes it pop up?

So far right now, it hasn't been terrible. Just looks red and is only located on my chin. It is slightly bumpy but not pimply just raised skin patches that are pretty dry. I could peel some skin off today as I haven't been using much on the effected area, is this a good or bad thing? Should I be letting it flake up and dry out? I'm also on anti B's since yesterday, I know those will take a while to kick in. I've also been using some ACV on the dermatitis, this makes it sting at first but then actuall feels pretty good, it's also not super drying for my skin. ALTHOUGH - everything all together and not moisturizing the PD has made it very dry. That's probably the most confusing part, whether to moisturize or not!

Your imput would be helpful, I look forward to hearing from you guys! Good luck with this terrible rash!

Hoots

[ledoodle]

I was diagnosed with POD about 2 months ago; located on sides of my chin and some under nose area. A little bumpy, but more very red raised rashy; extremely itchy and scaly dry at times. I am using Doxicycline & Clindimyacin; I know that most of my facial products are now irritating to this. But times where I have been completely clear, and I thought it was all gone; I would use some other products of mine that I thought were okay and had flare-ups-- in particular anything that is for treating or preventing acne with Salicylic or Benzoyl Peroxide are off limits for me now. I am safely able to spot treat a pimple with Kate Somerville Spot Treatment though. About 4 days ago I got brave and used a product that I really like and experienced one of the worst flare-ups! I was truely beside myself and honestly getting a little depressed by this. I thought I would not go to work, and the discomfort was unbearable. I called the esthatician who did my last facial for help. She recommended I get Dermalogica Ultra Calming Line-- it comes in a kit with all you need for a reasonable price. By the next morning after completing all the steps, I was a good 90% calmed without any discomfort!!! With foundation on, it looked like a tiny bit of dry skin if you looked closely. After 3 days of use, my face is almost 100%, using only this kit (still on oral & topical antibiotics, which I will continue for 3 months). I will not vary to any other products. I do not think toothpaste was aggravating my skin, but to be sure I am using baking soda and peroxide & Toms mouth wash. I use Nuetrogena Healthy Skin Liquid foundation. I will be attempting to switch to the Dermalogica liquid though this week. It is unbelievable that I have found these products... it is extremely exciting, and I hope it keeps working! I hope it can work for you too!

[Jgrace]

I'm new to this and don't even know how to post my own forum lol but i've recently had some red, itchy, bumps show up under my nose.. with a little time i noticed it under both of my eyes also. from what i've been reading on here and on other sites, it seems as if it is perioral dermatitis. i'm just not sure though.. i'm only 20 and on my own without any insurance so i can't just go to the dermatologist as i please.. it itches and burns at times, it's even flaky. i'll post some pictures so ya'll can see what my case is and maybe someone can put me in the right direction what to do or give me some advice of what it is. i'll really reallyyy appreciate it..
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[kpaulin]

Hi, about a month ago I had a funny little cluster of red bumps below my nose. They were not going away, so I assumed it to be a rash. I went to the dermatologist last Friday and was diagnosed with PD. I was put on doxycyline oral and clindamycin topical. The same day I also replace my body wash, shampoo, conditioner, face wash, and face lotion (California Baby calendula lotion, which was suggested in another forum) with SLS and paraben-free products from Whole Foods. I am looking for a toothpaste and lip moisturizer yet too.

It is the 5th day of my prescription treaments and my PD is just getting worse. It was contained to a small area under my nose, but now it is essentially all around my muzzle. Is the addage correct - it has to get worse before it gets better? I had to stop using salicylic acid face wash, toner and cleanser 5 days ago, so I'm not sure if that has anything to do with it too.

I am going to add the apple cider vinegar treament today too. I bought Braggs brand.

Is anyone still checking this forum? How has the progress been for everyone? If anyone has any brands to suggest, I'd love to hear it! How is the Dermalogica Ultra Calming line?

I have been totally devastated and consumed by PD for the past 5 days. I am scared of how long it takes to clear up...and that it is just going to come back again sometime.

[danaboogerd]

I have been struggling with POD for over 5 months. My GP thought it was a typical rash and prescribed me betaderm steroidal topical cream. The cream helped initially but then I started having big fore up of red, tiny blisters bumps, flacks patches, and burning and itchy sensation all around my mouth.

I went back to my GP and told him it was worse. He gave me some samples of protopic an immunosuppressant topical ointment. Which seemed to wok too, for a while. But then the POD came back. With a vengeance again. Tired of this irritating, depressing, aggravating condition, I made a dermatologist appt.

If you think you POD do not use steroids -- this is what made my condition so terrible. The dermatologist diagnosed me as having POD. I had to stop the betaderm cold turkey. She told me to stop protopic too. She prescribed a course of minocycline for 1.5 months. And gave me a new cleanser called Hexam, which makes my face feel clean. Previously I was using Spector gel. However, this new regime caused me to have a severe flare up on the 3rd day of antibiotic minocycline treatment and having gone cold turkey from my " creams"

The rash is so severe right now. It's extremely red, bumpy, itchy, burning, and many papules that look like zits/whiteheads (but are not acne whiteheads) The last two days I did end outside and it was fairly sunn there I live. I could be having a reaction to the sun. The only relief so far has come from applying a small bit of protopic.

If anyone has any suggestions on different products, tips, or their own story to share that would be so greatly appreciated. I have been so depressed and upset about this. I don't go out anymore, I cannot put or won't put make up on bc I am so afraid too.

The moisturizer I. Use right now is a combo of avene milk moisturizer and. Some sample the derm gave me with SPF 30 in it. But the sample doesn't seem to be working.

Please help anyone -- even just talking with someone else would help me.

Thanks anyone out there -- I feel your pain!

Dana B

[snuffleupagus]

The only thing that helped my PD was ketoconazole. There's an article on the news section that says antifungals are found to help PD, rosacea, etc.

Perhaps get a prescription for that? I took it for three weeks (pills). Only thing is it came back. It's on and off for me - some days not there, some days little red bumps, some days full blown. They're always these extremely red bumps around my lips (under the nose, under the lips). But weirdly is sometimes they are on the lip line too - but PD says that there is like a gap from them to the lips - so don't know what to think about that.

[chica]

I have PD too, and I hate it! I have to wear make-up to cover up some of it, but it's still very visible. I've had i for 3 years now. I don't have any pimple-looking bumps or anything, just a very red, flaky and a bit bumpy rash around my mouth and over my eyes. And it iches like h***, especially at night.

I've tried several cortison creams as well as protopic ones. The cortison cream clears it up completely!! Even if I use it for months. But I know I'm not allowed to do so, 'cause it damage the skin and apparently makes PD worse (I'm just saying the feeling of having clear skin and not worrying about breakouts is wonderful even if it's not allowed with PD-scin).

In April I went to see a specialist, since the on/off of cortison creams began to worry me. She told me, as I had guessed myself, that I had PD and gave med Tetracyklin (called Tetralysal) 300 mg two times per day. I've been on it almost 2 months now and don't see any improvements. I'm also using an antibiotic cream that doesn't seem to be doing anything for my scin either.

Have any of you had succes with the antibiotic pills, Tetracyklin?

I've heard that Zink should help, but I'm tired of trying all these "home made" tips, when none of it seems to work for me.

[dedelydee]

I am very fair skinned but play tennis. I must wear sunscreen. Are all the sunscreens out there going to irritate this or are any of them free of "bad ingredients". Also is it really safe to go without flouride for your teeth. What toothpastes are used. Is it true that asthma inhalers could be also a cause of this? I am not diagnosed yet but go to the dermo on Thursday Want to be prepared for what he throws at me.

Why is antibiotics used. Is this thing caused by bacteria?

[Brady Barrows]

I am very fair skinned but play tennis. I must wear sunscreen. Are all the sunscreens out there going to irritate this or are any of them free of "bad ingredients". Also is it really safe to go without flouride for your teeth. What toothpastes are used. Is it true that asthma inhalers could be also a cause of this? I am not diagnosed yet but go to the dermo on Thursday Want to be prepared for what he throws at me.

Why is antibiotics used. Is this thing caused by bacteria?

This thread is about Perioral Dermatitis, a rosacea mimic that can co-exist with rosacea. The cause of rosacea is unknown, but there are many theories on this. You might want to read this thread before seeing your doctor.

[dedelydee]

ok. thanks for the tips on what to ask the doctor