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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Perioral Dermatitis Around The Nose And Mouth Be Treated?

I am in my 50s & recently developed perioral dermatitis around my nose & corners of the mouth , this was brought on by upper lip waxing. as I was using cortisone based cream , the infection cleared up but then kept coming back on & off for about 4 months . I then saw a doctor about this who prescribed elidel cream. I have used for 4 .5 wks, this started to clear up , but then kept reappearing in other areas on the face. I am seeing the doctor again , would topical antibiotis be the next solution as I prefer not to use oral antibiotics as I am prone to vaginal thrush, and have had proctitis also due to antibiotics.
Fri, 16 Jun 2017
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Dentist,  's  Response
Hello,

As per your complain perioral dermatitis can be caused due to disturbances in microbial flora over the skin, bacterial infection, nasal and topical steroids, fluoridated toothpastes, harsh chemical cosmetics, poor facial hygiene, hormonal imbalances, etc. I would suggest you to consult a dermatologist and get evaluated and he can do a thorough clinical evaluation and advise you to apply topically ointments containing Doxycycline, Metronidazole. You can also be advised oral intake of Erythromycin.

Ointments containing Azelaic acid, Pimecrolimus, etc., can help. Avoid any skin cosmetic or steroid ointments. Avoid excess sun exposure, use gel based sunscreen lotion.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Honey Arora
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How Can Perioral Dermatitis Around The Nose And Mouth Be Treated?

Hello, As per your complain perioral dermatitis can be caused due to disturbances in microbial flora over the skin, bacterial infection, nasal and topical steroids, fluoridated toothpastes, harsh chemical cosmetics, poor facial hygiene, hormonal imbalances, etc. I would suggest you to consult a dermatologist and get evaluated and he can do a thorough clinical evaluation and advise you to apply topically ointments containing Doxycycline, Metronidazole. You can also be advised oral intake of Erythromycin. Ointments containing Azelaic acid, Pimecrolimus, etc., can help. Avoid any skin cosmetic or steroid ointments. Avoid excess sun exposure, use gel based sunscreen lotion. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora