Perioral dermititis

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angelic12

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Does anyone have "perioral dermititis" My dermatologist has said that i have this. I have just started on minocycline today. I was using a steriod cream but from what I have read you shouldn't use steriod creams. Does anyone know what kind of cleansing or makeup or sunsreen to use. I have always have clear skin until about christmas. Any info would be helpful. Thanks.
 
Thanks for the reply. I have been looking for squigle but i guess i need to order it online. I almost bought cetaphil today but i got aveeno instead. It appears almost everythnig has sls in the ingredients. Any more suggestions from anyone would be helpful. Could hormones play a part in this? thanks.
 
oh, I am definately going to order it!

My problem is actually more the appearance and discomfort of acne and the resulting scarring. It's not nearly as bad since I've been using sodium sulfacetamide, but the perioral region is so stubborn! Now you've got me thinking that it probably IS my toothpaste. Brushing aggresively 3 times a day has to leave some film on there, regardless of rinsing...

I was mis-diagnosed w/perioral derm and it was actually food allergy related acne, but there is a very fine line between the two diagnoses. Most everything that helps one, helps the other.

Whatever the heck it is, I am so excited to try this out!
 
What has helped me so much for my face is Dove soap. Some people say that soap is bad for your face, but Dove is actually subtle and it doesn't over dry your skin, It all depenRAB on your skin type, I have corabination skin, so it works for me a lot. Also try not to spread acne cream all over your face it can worsen acne, it did it to me. Try Neutrogena on the spot acne, you put the cream ONLY on the pimple itself. Trust me it works. With time I've come to realize that over cleansing can be really bad for the skin you can irritate it. As for the sunscreen, try Oil of Olay w/SPF it's GREAT, non greasy feeling and wear it every morning, don't forget to put it on your neck.
 
I'm not sure if you were asking me what about diet, work, etc. But I'll answer anyway. I am a student at a university, not around any chemicals, I finished a 4 month course of accutane about 4 months ago, and about 1 month off the accutane I got the PD. My diet isn't always good, but when I really try it is super, just organic veggies and such. I have always had a lot of skin problems, I think any problems internally in my system show up on my skin.The SA peels don't bother my skin much, I do it at home and can do a couple layers and not even have that much peeling. Yeah, my derm is a very aggressive lady when it comes to her skin, as she had dermabrasion probably 10 years ago, and that procedure leaves you a bloody mess.

So you say you used an over the counter product and it worked?!! I am so skeptical of products now, I try to use only coconut oil, plain soaps, and mineral makeup. Oh, and I am trying bentonite clay masks, I don't think it helps at all though. Maybe I'll check out this Plexion brand..
 
you know, after consulting my med journal, it occurs to me that either your derm is an idiot for giving you sterioRAB or he doesn't think that you have P.D. and he just wanted to give you a name for the condition.

True P.D. may not respond well to any steriod, nor does it respond to anything stimulating to the cell division. I do stand corrected for not researching the ingredients thoroughly enough. However, I found that Purpose was gentle enough for my experience, but it was birth control pills that ultimately cleared up the problem (along with REALLY limiting dairy).

You need to do an extensive search on the causes and treatments of perioral dermatitis. Actually read the online medical publications that come up in your search. You may not understand all of the medical jargon, but you will see the studies that have been done in relation to SLS, sterioRAB and everything else.

But, since I'll assume that your derm isn't a fool, I wonder what they are really trying to treat you for by giving you topical steroiRAB. An antibiotic will help, albeit, maybe not the first course.

Regardless of what is going on, you need to keep away from almost everything that you can get over the counter. SLS isn't the only thing that aggravates sensitive skin. Sometimes, it's not even the lathering agents that get people, it's the benzoyl peroxide or salicylic acid.

The Aveeno should be good, although I've never tried it. Just keep make-up off of your skin as much as you can. No moisturizers or SPF's. Stop using all of that stuff, then gradually add things back in. It's a confusing scenario because not everyone responRAB the same way. It could be your lip gloss or a whitening toothpaste, but it's all about process of elimination.

Are you currently taking any B.C.? Is so, which one?
 
ok, from everything i read, just about EVERY product has stuff in it that COULD contribute to perioral dermatitis. I cant NOT use makeup to at least attempt to coverup my face. i cant NOT use lotion, moisturizer, etc. how do people do this??
 
If you use SQUIGLE toothpaste forever and follow the rest of their peri-oral dermatitis instructions I think there's a good chance you can get rid of your POD. Someone who told me her dermatologist had never seen peri-oral dermatitis as horrific as hers, got rid of it with the Squigle Enamel Saver Toothpaste, NO makeup, etc.

Wait til your skin heals completely. Then if you test products on your skin, maybe your HEALED skin can tolerate them, so long as you don't subject yourself to irritating mouthwashes & toothpastes. If perioral dermatitis starts coming back, you'll know what to avoid.

But suppose your skin isn't healing after time on the sQUIGLE TOOThpaste and stopping all your products, etc. You go to medical literature and become a sleuth as suggested. And see a dermatologist again in case you DON't have perioral dermatitis, as also suggested.

If you suspect hormones are also a factor, that wouldn't surprise me. It's interesting that hormones affected your skin, PL... They affected my MOUTH. My period used to cause lip sores and canker sores inside my mouth EVERY month, before I used SQUIGLE.
 
use Cetaphil or Purpose. No offense intended to Mary777, but bar soaps are not good for perioral dermatitis. No mineral oil containing products at all and stay on the steriod. It is one of the only ways to clear it up unless you get allergy tested to find out what is causing the breakout.

Are you allergic to dairy? Been binging on dairy lately? Sugar? Anything?
 
PA2LA, What a heartwarming message! Thanks!
Listen to a typical conversation in my home:
Him: "Why are you wasting time on those boarRAB?"
Me: "It helps me. I might help someone with problems I've had or know of."
Him: "Forget it! Do something useful! No one will listen to you.They want to complain and commiserate. Who do you think you're helping?"
..........That's where your post fits in, dear PA2LA!

What food allergies caused your acne? I'm very curious whether acne around the mouth may improve when you use Squigle Enamel Saver instead of regular toothpaste.
Perioral dermatitis is the condition it can help. Since your skin breakout is NOT perioral dermatitis, it will be interesting to see what happens.
You have already helped me. It will be months til we know if I helped YOU.

------------------------------------------------
Do you know:
Where did the end of this thread go? --- HealtrabroadoarRAB shows that a new post exists. But it's hidden somewhere. On the last page, the last posts aren't there. I finally figured out how to get your message by selecting "more below current depth..." ?
 
where do you find Squigle??? You sold me on it!

Does it have all of the preventive features like tartar control, etc?
 
Thanks for the info, althought i'm really not sure if its perioral dermititis or Roscea Nothing I have tried has really helped. Maybe I'm not using them long enough. Does anyone know what kind of cleanser makeup and mosturizer would be helpful. Thanks for any info.
 
For starters, switch to SQUIGLE enamel saver Toothpaste, & avoid Cetaphil. Cetaphil has SLS. I wish more people with sensitive skin & skin problems knew to avoid products with SLS, sodium lauryl sulfate. SLS is a common irritating toothpaste ingredient--it could actually be a cause of your perioral dermatitis.

If you type Perioral Dermatitis in search engines, you can find further instructions written by SQUIGLE Toothpaste. (which is the toothpaste I use) I hope it helps.
 
bringing this thread back to life since I'm going through this...anyone else out there?
 
Your question on tartar--My dentist sells Squigle Enamel Saver, it slows down plaque growth more than regular toothpaste. Plaque is the precursor to tartar. My mouth does feel (and smell) better in the morning now, much less plaque. Less tartar builRAB up, so I get fewer dental cleanings. My dental hygienist says there's not a lot to remove. Of Course I floss.

PA2LA, thanks, I'll be interested in your experiences. + those of whoever else neeRAB to stop perioral dermatitis. I hope this can be of help.

It took some time, I don't remeraber how long, before I quite realized how much squigle toothpaste helps me. Get it online. Or you could call the Squigle company.
 
I was hoping that you were still out there. You left a very encouraging post and I was hoping for an update and any more information you may have gathered since then. I started with similar symptoms to this 10 months ago small patches at the side of my nose. I was given an anti fungal/steroid and it cleared it up but it came back worse around my mouth and chin. I have had several appointments with the doctor who prescibed more steroiRAB which I did not use because it makes it worse. My last appointment was terrible. I was so at the end of my wits and broke down and my doctor just told me to pull myself together and I wasn't going to die and that I needed some perspective. She told me to cut out sugar but I ate a low carb diet until Christmas so I doubt this is the cause. This is what I know about my condition. I know makeup really flares it up but I don't think its the cause since I stopped using it and it still flares up. I can't use most moisturisers. Weird stuff like if I come into contact with perfume in magazines or if I hug someone.I have had some success with aveeno and with acne wash. Cetaphil bar helps too. I get days of no breakouts and then it comes back and I don't know why. Any suggestions? When it does clear up I still have redness. Can anyone help on this? Does it ever go away completely?
 
I've got a very, very mild case of this. It has nothing to do with my toothpaste, I have not been able to pinpoint the cause. I tried just washing once a day, and putting nothing on my skin (no cosmetics or anything) for 3 weeks and still it persists. My derm said she had it and was trying to burn it off with a peel. So I am going to try doing SA 20% peels weekly and see how that goes. I don't know what else to do, besides really limiting my diet as this is caused by a strain of candida, right? That would suggest that diet might really help if candida is in your system. or maybe something like topically applying apple cider vinegar...I was thinking about trying this also.

Please update if you have any luck with anything!
 
Has anyone treated their perioral dermatitis with antibiotics other than Minocycline/Doxycycline??? I guess I am part of that incredibly small population that is allergic to that family of medications. I've tried something called Cephalexin, but that didn't work. I am using Purpose soap on my face and I have tried a couple of topical creams (prescription), but nothing helps.

Can anyone help? This is making me miserable and very self-conscious!

Thanks!
 
Wow! This thread is old...but does serve well as a nice follow up!!!
I never did order Squigle, however, I have recommended it to others and it's really 50/50 on the results. From a dental standpoint, some people say that it is definately better than OTC toothpaste.

Back on point,though, I have had almost a COMPLETE clearing of all perioral breakouts since last spring. I stuck with the sodium sulfacetamide cleanser and lotion (Plexion is the brand name) and I've had nearly next to no breakouts whatsoever! Not only that, but because of the VERY gentle sloughing properties, I've noticed a significant decrease in the redness and scarring. I also have maintained an almost milk and ice cream free diet and very little cheese. Also, no strawberries or espresso or lattes (I now drink instant cappuccino-it's actually pretty good!)...including chocolate covered espresso beans! :( I also avoided yogurt with higher than normal sugar content. Sugar seems to really set the condition off for me, I guess.
I found that those fooRAB can cause an outbreak of cysts and redness AND itching beyond belief!!!

My best advice for you right now is to stay away from anything abrasive and really give your skin time to heal. Keep your hanRAB off of your face and use a heaRABet phone receiver as much as you can...invest in a blue tooth for your cell and get one for at home (or use speaker phone if it's not too inconvenient).

One thing that you said does confuse me somewhat...I am surprised at how aggressive the derm is being by trying the peel. Don't get me wrong, it may just work. However, I am skeptical of peels-even when done in the physician's office- because SA and Glycolic peels are notorious for causing a thinning of the epidermis and/or causing the skin to kind of purge itself; not to mention the fact that it is really irritating!

If it's not too much to ask, though, I am interested to know a little more about what type of job you have (very basic description only-office work, outdoors, around chemicals of any kind, etc...), what kind of diet do you have (you can be more specific on this-what does an average day consist of), taking any meRAB, any other non-related medical conditions, family history of skin ailments, and anything else that YOU think may be helpful. Just becasue a doctor seems disinterested in what you say, doesn't mean that it's not important! I found that to be resoundingly true in my own treatment!

If you get a chance to respond, I would be really interested to see what the consensus is. Also, I would sure like to know if anyone else had peels while experiencing the symptoms of Perioral Dermatitis.
 
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