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Suggest Treatment For Perioral Dermatitis On Face

Posted on Wed, 17 Sep 2014

Question: The lower part of my face is black. i want to clear this. is there any some medicine for this.

Answered by Dr. Hardik Pitroda (1 hour later)

Brief Answer:
Pictures and history required

Detailed Answer:
Hello XXXXXXX
Thank you for posting on HCM.
I can undersand your apprehension regarding darkness over lower face and I will try my level best to guide you along the best management.
Since you have not posted clinical pictures and history,its difficult to point specific diagnosis and thus treatment.
Therefore, I insist you to post good clinical pictures along with detailed history, so that I can help you in a better way.
Thanks
Dr Hardik Pitroda

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Hardik Pitroda (21 hours later)

There is no medical history. i have never consult with any doctor. i am attaching the pictures. The mouth part is blackish.

Answered by Dr. Hardik Pitroda (8 hours later)

Brief Answer:
Topical hydrocortisone and fusidic acid

Detailed Answer:
Hello.
Thank you for the pictures.
The pigmentation you have developed is called perioral dermatitis.
It could be result of any bacterial or fungal infection, Or your hormones, nutrition and even use of cosmetics and contact with strong chemicals in soap/ toothpaste.
I would suggest you intake of oral vitamin B and C tablets for few months.
Apply a cream containing hydrocortisone and fusidic acid and antifungal cream like miconazole twice a day for atleast 3 weeks.
Use good mosituriser like Emolene cream as required for dryness.
Use water-based sunscreen like Suncote sunscreen gel everytime before going out in sun.
Avoid gel based or strong toothpastes.
( Conventional simple Colgate toothpaste is good enough ! )
Drink plenty of water and have lots of fruits and vegetables in your diet.
Let me know about your condition after 3 weeks of treatment.
Thanks
Dr Hardik Pitroda

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Hardik Pitroda (2 days later)

Thanks for the suggestion.

Answered by Dr. Hardik Pitroda (2 hours later)

Brief Answer:
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Detailed Answer:
You most welcome.
For any future query you can reach me directly via the following link:
http://doctor.healthcaremagic.com/doctors/dr-hardik-pitroda/67169
Thanks
Dr Hardik Pitroda

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar