Perioral dermatitis: causes, symptoms and drugs for treatment

Oral dermatitis is a local skin lesion, which consists of small papules (pimples), usually localized around the mouth, which determines the name of the disease. Another name for this disease is perioral dermatitis. Most often, this type of dermatitis is diagnosed in young women, less often in older women, but can also occur in children and teenage boys. Oral (perioral) dermatitis is an unpleasant cosmetic problem, which can still be eliminated if the cause of its occurrence is correctly identified and an effective treatment regimen is selected.

Medical is a clinic that diagnoses and treats many diseases, including dermatological ones. The treatment regimen in each specific case is selected individually, taking into account the characteristics of the patient’s body.

Perioral dermatitis

Perioral dermatitis on the face is a disease that affects the skin.
It appears in the form of small pimples that form in the area of the lips and mouth. It is accompanied by unpleasant itching, redness and negative consequences, which can be eliminated through a medical examination and properly selected treatment. In each specific situation, based on the results of the consultation, doctors recommend the patient medications that are relevant to his case. These include specialized pastes, ointments, sometimes hormonal drugs, as well as therapy that quickly eliminates burning and other symptoms. For perioral dermatitis, medications (ointment, tablets, cream) are selected based on medical diagnosis and tests. You can purchase the necessary medications for treatment on our website “Pharmacy 911”.

Treatment of periorbital dermatitis

Periorbital dermatitis of all types shown in the photo requires, first of all, that the patient keep the skin of the eyelids clean, touch and scratch the eyes as little as possible, then the treatment will be successful.

When possible, the allergen or irritant causing symptoms should be identified and avoided. Such triggers may include:

Certain cosmetic brands
Sunscreen,
Perfumery,
Goggles,
Eye drops,
False eyelashes,
Contact lens solution,
Volatile allergens.

Home remedies that can help relieve symptoms before consulting a doctor include:

Aloe gel
Oat infusion
Cucumber slices

Treatment of periorbital dermatitis with medications

The main medications that have a therapeutic effect in this condition are divided into three main groups:

Moisturizers. Emollients eliminate dry skin, reduce flaking and itching. Various lotions, creams and ointments are available in pharmacies and are sold without a prescription. It is the best choice in the treatment of mild periorbital dermatitis.
Calcineurin inhibitors such as Elidel. These are modern drugs for the treatment of inflammatory skin diseases such as eczema and psoriasis. It is used both topically in the form of ointments or creams, and internally in the form of tablets. A side effect is some suppression of the immune system.
Glucocorticosteroids are hormonal anti-inflammatory drugs that eliminate all symptoms of dermatitis. Due to undesirable effects such as skin atrophy, the use of these products on the face, and especially on the skin around the eyes, is limited. The mildest of steroids are used, such as hydrocortisone ointment, and for a very short course. It is safer to treat periorbital inflammation with drugs from the second group.

Causes of perioral dermatitis

Various factors become prerequisites for the occurrence of the disease. It is generally accepted that the disease can occur in waves, during which the irritation on the skin passes and reappears. Doctors often identify hormonal changes as the cause of perioral dermatitis. Symptoms appear as a result of:

the use of drugs based on corticosteroids, which provoke the occurrence of rosacea, acne, blackheads and other cosmetic problems
pregnancy, when the body is at the stage of serious changes and hormonal changes. Dermatitis often worsens before the onset of menstruation.
using inappropriate decorative cosmetics
the use of pastes with fluoride, which provoke irritation of the epidermis
chapping after walking in the cold or sunbathing
infectious diseases
problems with immunity. They are usually caused by not getting enough vitamins.

Having discovered a corresponding problem, it is better to immediately go to see a doctor and find out how to treat perioral dermatitis on the face in adults.

Prevention of periorbital dermatitis

Don't scratch or rub your eyelids. This can cause further damage to the skin and increases the risk of infection.
Make changes to your diet. Food allergies can serve as triggers for dermatitis around the eyes. Dairy products in particular can cause symptoms of atopic dermatitis.
Moisturize your skin, but avoid products that contain formaldehyde, sulfates, parabens and fragrances, which can cause irritation.
Glasses will protect you from exposure to some volatile irritants.
Try to shower for short periods of time to limit exposure to water. Don't use soap.
Limit the use of eye makeup. Mascara, eyeliner and eye shadow can serve as powerful allergens and irritants. Choose hypoallergenic brands.

Symptoms of the disease

The first sign that you need to undergo an examination is the appearance of small blisters (papules) in the mouth and chin. In severe cases, they can spread throughout the face, reaching the cheeks, nose, eyes and temples. Papules are filled with clear liquid. Color varies from flesh-colored to pink to bright red depending on the stage of the disease. Pimples appear singly or in groups. The skin in these areas becomes rough. Bursting, papules form crusts. If you accidentally touch one, pigmentation will eventually remain on the skin.

Patients do not always experience serious pain. The sooner treatment of perioral dermatitis on the face in children and adults begins, the easier it is to get rid of the disease, and the lower the risk of unpleasant consequences. When you notice the first symptoms of the disease, make an appointment with a dermatologist.

Symptoms of periorbital dermatitis

Symptoms of eyelid dermatitis may affect one or both eyes. The condition can be chronic - that is, mild manifestations of the disease are constantly present - or periodic, when symptoms appear and disappear. Only the eyelids or the entire area around the eye may be affected. The main features include:

Itching, which completes a vicious circle of symptoms. Scratching leads to even more damage to the skin and increased itching, which makes you want to scratch your eyes even more,
Swelling, which often prevents the eye from opening and gives the appearance of a drooping eyelid,
Pain or burning, with an unbearable desire to rub the eyes, which only worsens these symptoms,
Red rash on the background of irritated, inflamed, red skin,
Dryness and peeling, especially pronounced with the seborrheic component of inflammation of the eyelids. In this case, the skin is covered with white or yellowish scales, and fatty, yellow, loose growths and crusts appear at the base of the eyelashes above and below,
Thickening and folding, hardening of the skin during a chronic course, which is called lichenification.

If the process is caused by an irritant and an allergen, the lesion usually appears within a few hours after exposure, but may become severe several days after contact with the trigger.

In cases where eyelid dermatitis is severe, symptoms may affect more than just the skin around the eyes.

Conjunctivitis is an inflammation of the mucous membrane of the eye. It can occur if the patient often rubs his eyes with dirty hands due to dermatitis. This promotes the introduction of bacteria and the development of infection. Symptoms of this complication of periorbital dermatitis include redness of the eye, watery eyes, itching, sensitivity to light, and a watery or purulent discharge from the eye.
Keratitis is an inflammation of the cornea, the front transparent membrane that protects the pupil. The symptoms are similar to conjunctivitis, but more severe. It is difficult to open the eye, there is a sensation of a foreign body or sand in the eye. An important difference is also the deterioration of vision; the patient sees objects as if in a fog. This complication can be dangerous in terms of vision loss, so you should seek immediate medical attention.

Risk groups and similar diseases

Signs of the disease are most often found in women, but children and adolescents periodically experience them due to weakened immunity. In place of the blisters, ulcers often form. When spread over the entire face, it becomes a threat to vision, which is especially important in the situation with children. Therefore, when checking with a specialized doctor about how to treat perioral dermatitis in children, it is worth paying a visit to an ophthalmologist.

In the case of teenagers, the disease may not be detected immediately, because, experiencing hormonal changes, boys and girls often encounter skin problems. Blackheads and acne affect most people, so it can be difficult to notice papules at an early stage. Patients prone to allergies also rarely accurately diagnose the disease. Perioral dermatitis in children is often attributed to hormonal imbalance.

How does the disease manifest during pregnancy?

The disease is quite easy to recognize by severe itching and red rashes that appear on the stomach, knees, elbows, chest and neck. When active, the rash looks like small blisters with liquid contents. When they burst, areas of weeping appear on the skin, which then dry out and peel.

Scratching causes the skin to thicken and become rough. This phenomenon is called lichenification. The effect on the fetus of atopic dermatitis during pregnancy is minimal. The disease brings more discomfort to the woman herself, without interfering with the development of the child. Consequences can occur after birth, since the tendency to atopy is inherited. In a child, it can manifest itself not only in the form of dermatitis, but also in the form of bronchial asthma or hay fever.

Diagnosis of perioral dermatitis

Having noticed the first signs of the disease, having felt unpleasant symptoms, you need to make an appointment with a specialized specialist. The initial appointment with a doctor consists of an examination, a description of the medical history based on the patient’s complaints and information about the individual characteristics of his body and possible reactions.

Before treating perioral dermatitis, tests are one of the mandatory procedures. They allow you to identify the prerequisites for the development of the disease and accurately diagnose it, without confusing it with herpes, rosacea and other skin lesions. You will need:

Dermatoscopy. Gives an assessment of the epidermis and helps assess the course of the disease
Scrapings. Determine the infectious nature if the symptoms have a corresponding origin
Allergy tests. Demonstrate the level of skin sensitivity to staphylococcus and streptococcus

As a result of the examination, the doctor explains to the patient how to cure perioral dermatitis, clinical recommendations are entered into the disease record. A course of medications and therapy is prescribed.

Allergic and atopic reactions of the skin and oral mucosa

Allergic contact dermatitis occurs in patients with hypersensitivity to a specific substance that acts as an allergenic trigger. Allergens can be: chemical salts of chromium, nickel, cobalt, turpentine and its derivatives, formaldehyde resins, cosmetics, insecticides, synthetic detergents, medications (antibiotics, sulfonamides, novocaine, formalin). Contact dermatitis (cheilitis) can be caused by cosmetics. Allergic contact stomatitis develops in prosthetic wearers with intolerance to materials, such as plastic.

In allergic contact dermatitis, cheilitis, stomatitis, erythema, papular and/or vesicular, bullous and urticarial elements are determined against the background of pronounced swelling of the connective tissue. Subjective sensations are noted - itching, burning, a feeling of heat in areas of contact with one or another irritating substance. However, in some patients, clinical manifestations may extend beyond the zones of exposure to allergenic agents.

Toxic-allergic dermatitis (toxidermia)

It most often develops under the influence of drugs and foods. Clinically common drug and food toxicoderma is manifested by a variety of rashes: true polymorphism of rashes. The appearance of numerous spotted, urticarial, papular, papulovesicular and, less commonly, pustular elements of the lesion, accompanied by itching, is possible. Sometimes total erythroderma develops.

Often the mucous membranes are involved in the process, on which edema, erythematous, hemorrhagic, and vesicular-erosive elements occur. The rashes are localized in areas susceptible to injury or throughout the entire oral mucosa.

The acute phase of the disease is characterized by intense itching, papules and vesicles located on an erythematous base. They are often accompanied by severe excoriations and erosions. Fixed toxicdermia may develop, the cause of which is most often the use of medications, for example, sulfanilamide erythema. One or more swollen hyperemic spots, round or oval in shape, appear, in the center of which a bubble may form. After the drug stops working, the inflammatory phenomena subside, and the stain persists for a long time. In case of repeated application of the same allergen, the spot again becomes hyperemic and undergoes a similar evolution. Fixed toxicoderma is localized on smooth skin and mucous membranes.

The acute phase of the disease is characterized by intense itching, papules and vesicles located on an erythematous base. They are often accompanied by pronounced excoriations and erosions, and the release of serous exudate. The subacute phase is accompanied by erythema, excoriation and peeling against the background of lichenification of the skin. In the chronic course, thickened plaques on the skin, an accentuated skin pattern (lichenification) and fibrous papules are observed.

Atopic dermatitis

The concept is collective in nature and includes terms denoting allergic inflammation of the skin (“Beignet’s pruritus”, “atopic neurodermatitis”, “childhood eczema”, etc.), with the exception of urticaria and contact dermatitis.

The term “trigger” is used to refer to the causes that cause the appearance and exacerbation of atopic dermatitis. Factors identified from the anamnesis can be both truly allergenic (protein substances) and non-allergenic irritants (non-protein chemicals: food additives, clothing dyes, overheating, dry air, scratching the skin, stress). They cause the classic pattern of “atopic” reaction of the immune system (allergen-antibody interaction, usually with the participation of class E immunoglobulins). Non-allergenic factors either intensify an existing allergic reaction or cause inflammation and symptoms of dermatitis on their own.

In patients with long-term chronic atopic inflammation, changes can exist simultaneously in different areas of the skin and mucous membranes.

Mild atopic dermatitis: mild itching, slight hyperemia, slight exudation, slight peeling, single papules, vesicles, slight enlargement of lymph nodes (up to the size of a pea). Moderate: Moderate to severe itching that disturbs sleep. Multiple lesions of the skin and mucous membrane with severe exudation or lichenification, multiple scratches and hemorrhagic crusts. The lymph nodes are noticeably enlarged (to the size of a bean).

Severe course: the itching is severe, painful, often paroxysmal, seriously disturbing sleep and well-being. Multiple, confluent lesions, severe exudation or lichenification, deep fissures, erosions, multiple hemorrhagic crusts. Almost all groups of lymph nodes are enlarged to the size of a hazelnut (in very severe cases - to the size of a walnut).

Diagnostic criteria for atopic dermatitis (stomatitis) combine the subjective sensation of itching and objective signs: dermatitis; presence of allergic status in close relatives; widespread dry skin; development of dermatitis before 2 years of age.

Laboratory tests include immunological, serological, allergological tests. An increased level of concentration of total serum immunoglobulin E and eosinophilia in peripheral blood may indicate atopic genesis of stomatitis. Skin tests (prick, scarification and patch tests) play an important diagnostic role in identifying allergens that cause exacerbation.

Intradermal tests are performed with inhalant allergens in difficult diagnostic situations. Intradermal tests with food products are strictly prohibited due to excessive sensitivity and the possibility of provoking an anaphylactic reaction.

Diagnostic criteria for atopic dermatitis combine the subjective sensation of itching and objective signs: dermatitis; presence of allergic status in relatives; widespread dry skin The application test is simple and accessible: the test substance is applied to the skin of the inner (flexor) surface of the forearm. The results of application tests are assessed during the first hour (immediate reaction) and after 24-48 hours (delayed reaction) based on skin hyperemia, itching, swelling, weeping at the site of application of the substance. Contraindications to skin testing are exacerbation of atopic dermatitis, acute intercurrent infections, chronic diseases in the stage of decompensation, pregnancy, tuberculosis, mental illness, collagenosis, malignant neoplasms.

Special allergy tests are based on genetic predisposition to atopy, which is determined by a significant number of factors: interleukins, especially IL-4 and IL-13, other cytokines, dendritic cells, Langerhans cells. In this regard, in a blood test during atopic reactions, an increase in the number of activated T-lymphocytes and Langerhans cells, and increased production of IgE by B-cells are noted.

In patients with atopic dermatitis, radioallergosorbent test (RAST), enzyme-linked immunosorbent assay (ELISA), multiple allergosorbent test (MAST) and other in vitro methods are used to detect specific serum IgE. Patients with suspected infection of the skin and mucous membrane are examined to identify viruses or bacteria that cause complications. The most common fungal flora, herpes virus, dermatophytes, streptococci, staphylococci.

Three fundamental positions in the treatment of atopic dermatitis:

Therapeutic and cosmetic skin care.
External anti-inflammatory therapy.
Elimination of causative factors causing exacerbation (allergenic and non-allergenic triggers).

General rules for caring for the skin of patients with atopic dermatitis: eliminating dry skin and restoring the damaged lipid layer of the skin; exclusion (limitation, as far as possible) of exposure to irritating factors on the skin.

To eliminate dry skin, various moisturizers and emollients are used. For the purpose of softening, cosmetics based on physiological lipid mixtures should be used. Ceramides, free fatty acids and cholesterol are in a ratio (from 1:1:1 to 3:1:1, respectively). At the same time, many cosmetic products contain water, i.e., both moisturizing the skin and restoring its lipid composition are achieved (Mustela cream). A moisturizer and emollient must be applied to the skin as often as required so that the skin does not remain dry “for even a single minute.” As a rule, in the first days, 5-10 times the application of products to the skin is required, and subsequently the frequency of treatment is reduced to 3 times a day.

Antibacterial and antifungal drugs are used both independently and in double combination (glucocorticosteroid and antibiotic or antifungal agent), as well as in triple combination (glucocorticosteroid, antibiotic and antifungal agent): pimafucort, triderm, acriderm GK.

The following drugs have an anti-inflammatory effect: ASD III fraction, sulfur, tar, naftalan oil, zinc oxide, salicylic acid, dermatol, ichthyol. For the treatment of dermatitis in the acute stage, liquid forms of external antiseptics and combined action preparations (Castellani liquid, fucorcin, preparations containing salicylic acid, and others) are used as disinfectants and disinfectants, especially in cases of secondary infection and weeping of lesions.

The following drugs have an anti-inflammatory effect: ASD III fraction, sulfur, tar, naftalan oil, zinc oxide, salicylic acid, dermatol, ichthyol Anti-inflammatory activity is exerted by external glucocorticosteroids of “increased safety”: advantan (methylprednisolone aceponate), afloderm (alclomethasone dipropionate), lokoid ( hydrocortisone 17-butyrate), elocom (mometasone furoate). Advantan is applied to any area of the skin, including folds and face (once a day). Afloderm is used 1 to 3 times a day. Lokoid is used to treat dermatitis of any localization (1-3 times a day). Elokom can be applied to the skin of the face once a day.

Treatment with external glucocorticosteroids is the most effective method of treating children with atopic dermatitis. Therapy with external corticosteroids should be carried out long-term, until complete remission of the disease occurs.

Atopic cheilitis

It can occur independently or accompany the general picture of atopic dermatitis - a chronic lichenifying inflammation of the skin that occurs as a result of an allergic reaction that is triggered by both atopic and non-atopic mechanisms. The disease begins acutely, causing itching and clearly demarcated pink erythema, and sometimes there is swelling of the red border of the lips. Crusts appear at the scratch site. Acute phenomena subside, lichenification develops: the red border is infiltrated, covered with small scales and thin grooves. Small cracks form in the corners of the mouth. The process does not spread to the mucous membrane and Klein's area, but it involves the skin around the lips.

Atopic cheilitis occurs over a long period of time, exacerbations occur mainly in the autumn-winter period, and remission occurs in the summer. Atopic cheilitis in children manifests itself quite clearly: swelling of the skin in the perioral area, infiltration and peeling of the red border of the lips, radial striations. Papular rashes in the corners of the mouth are characteristic. Manifestations of atopic cheilitis and its relapses have cosmetic consequences (changes in color, lip architecture), disrupt the child’s nutrition, and interfere with the sanitation of the oral cavity. By the end of puberty, most people experience self-healing, but minor rashes may persist, mainly in the corners of the mouth. In some cases, psychosomatic disorders may occur.

Depressive reactions in patients with somatic and neurological diseases, which are based on factors including objective signs of bodily suffering, are also characteristic of dental patients.

In some cases, patients believe that character changes due to an aesthetic defect affect communication with loved ones or career growth. A special group in this regard is represented by actors, singers, teachers, and doctors. Excessive fixation of attention on individual anatomical features contributes to the emergence of psychogenic disorders, which may be the result of the idea of “losing one’s physical attractiveness” and inferiority in the eyes of loved ones. They can form as a result of diseases or conditions accompanied by changes in appearance. For example, the removal of front teeth leads to malocclusion (reduction of the lower third of the face), speech, and deterioration in the aesthetics of the dentition. The patient tries to talk less, stops smiling, and develops withdrawal. Soft tissue defects in the perioral area can lead to similar manifestations.

In some cases, patients believe that character changes due to an aesthetic defect affect communication with loved ones or career growth. A special group is represented by patients whose dental diseases can directly affect their professional activities: actors, singers, teachers, doctors. Their reactions are often of a violently emotional or hysterical nature; as a rule, there is a discrepancy between the severity of the condition and the psycho-emotional behavior of the patient. A person’s self-esteem of his own morphological characteristics depends on gender, age, and constitution. Young people, as well as unbalanced individuals, react more sharply to aesthetic flaws.

Nosogenic depression should be differentiated from psychogenic depression, when primary mental state disorders lead to refusal to communicate with the dentist. Complex treatment of nosogenic depression is carried out by a psychologist or neuropsychiatrist: medication, reflexology, physiotherapy (electrosleep). The dentist is required to comply with medical ethics and deontology, attentive attitude towards the patient, the ability to convince him of the effectiveness of modern methods of treatment in dentistry, and high-quality sanitation of the oral cavity.

Diagnostic criteria for atopic dermatitis include the mandatory presence of itchy skin (red border of the lips) and three or more of the following signs: the presence of dermatitis in the area of the flexor surfaces of the extremities; bronchial asthma or hay fever in close relatives; widespread dry skin; the first manifestations of dermatitis before 2 years of age. To clarify the diagnosis, consultation with an immunologist, allergist, or dermatologist is required.

Skin tests can be performed on almost all allergens. To exclude possible anaphylactic reactions, testing with allergens to which hypersensitivity is obvious should not be used.

Atopic cheilitis occurs over a long period of time, exacerbations occur mainly in the autumn-winter period, and remission occurs in the summer. In some cases, psychosomatic disorders may occur. To assess the allergic reaction in vivo, a mucosal test is performed on an intact area of the mucous membrane of the upper lip or hard palate. Removable dentures are made of plastic, on the inner surface of which there are 2 recesses. One is filled with an aqueous solution of the suspected allergen, the second with a physiological solution, the prosthesis is fixed on the teeth to create contact between the mucous membrane and the test substance. After 15-25 minutes, the prosthesis is carefully removed and the intensity of the reaction is determined after 1, 24 and 48 hours.

General treatment of atopic cheilitis requires the appointment of hyposensitizing therapy, including the use of antihistamines (suprastin 0.025 - 2-3 times a day; fenkarol 0.025-0.05 - 3-4 times a day; tavegil 0.001 - 2 times a day; loratadine ( Claritin) 0.01, Zyrtec (Cetrin) 0.01, Zaditen 0.01 - 1 time per day). In a number of patients, histaglobulin has a good therapeutic effect, which is prescribed in courses of 6-8 injections intradermally 2 times a week in increasing doses, starting from 0.2 ml to 1 ml, sodium thiosulfate orally or intravenously, sedatives (trioxazine, seduxen, melleril and etc.). In case of persistent atopic cheilitis, corticosteroids can be prescribed orally for 2-3 weeks: prednisolone (children 8-14 years old, 10-15 mg/day, adults, 15-20 mg/day) or dexamethasone, which is more effective. Corticosteroid ointments are prescribed locally (1% hydrocortisone acetate cream (hydrocortisone), 0.1% hydrocortisone butyrate ointment and cream (Laticort), 0.1% mometasone ointment and cream (Elocom), 0.5% - prednisolone ointment, 0.1% triamcinolone acetonide ointment (fluorocort), 0.025% fluorcinolone acetonide ointment and gel (flucinar).Bucchi rays have a positive effect.

Spicy, salty, spicy foods, alcohol should be excluded from the diet, and the amount of carbohydrates should be sharply limited.

Conclusion

The manifestation of allergic, toxic-allergic, and atopic reactions on the skin is often accompanied by pathological changes in the oral mucosa and the red border of the lips. Diagnosis of diseases requires not just a thorough examination, but specific laboratory tests to identify the etiological factor. Local and general treatment, including impact on individual links of etiopathogenesis, ensures the achievement of a positive result.

Treatment of perioral dermatitis

A confirmed diagnosis usually requires an integrated approach. The treatment regimen involves a complete refusal of cosmetics, as well as corticosteroid drugs. The patient is advised to use antihistamines to relieve burning and itching. Herbal lotions are used to help reduce inflammation. Reflexology is used to stop symptoms by pressing on specific points or placing special needles.

Having weakened the symptoms, you can resort to the use of antibiotics to get rid of the infection if it is diagnosed during the examination. For perioral dermatitis, medications are prescribed by a doctor taking into account age, body characteristics, allergies and pregnancy. Strengthening the immune system and restoring the balance of intestinal microflora are important. The latter may require a specific diet. Avoid fried, spicy and fatty foods, snacks, sweets and fast food. Give up alcohol and cigarettes.

Causes of dermatitis

Atopic dermatitis has a hereditary predisposition and is associated with allergic diseases. The likelihood of illness increases. If the parents have bronchial asthma, blood pressure itself, allergies.

The following factors can provoke an exacerbation to one degree or another:

the level of pollution in the city where the child lives and temperature conditions;
gender – the disease occurs more often in boys;
mother's age - the older she is, the higher the risk of having a child with atopic dermatitis.

There are also less global, but important factors, including:

dry air - it makes sense to humidify dry air, especially in areas where children live and spend their leisure time;
frequent use of simple soap, which washes away the lipid film, and the skin is left without protection;
digestive problems;
stress and nervous tension;
household irritants - cosmetics, creams, cigarette smoke, wool;
presence of food allergies.

Food products can provoke the onset of the acute stage, so food allergens should be promptly identified and eliminated from the diet of an adult or child. In addition to the most aggressive ones (cow's milk, chocolate, citrus fruits, fish, eggs), the problem can be provoked by more harmless food options - potatoes, cereals or apples.

Food allergens, as a rule, are relevant until the age of 3; at older ages, other causes of exacerbations - inhaled allergens - become more important. These include dust mites, mold spores, hair and feathers from pets and birds, and detergents. To eliminate this cause of exacerbations, it is important to carry out prevention - get rid of textiles and regularly clean.

Prevention

Treatment with ointment for perioral dermatitis is not always a panacea. In some cases, the disease can return, so the course of taking medications can be long. Any irritant often leads to the appearance of the disease. Following simple recommendations will help you avoid possible risks:

Check the composition of cosmetic products and treat their choice with special attention
Don't neglect personal hygiene
Strengthen your immunity
Eat right and monitor your digestive health
Be aware of allergies
Monitor hormonal balance during pregnancy, in case of possible changes due to nervousness, illness or other reasons

Perioral dermatitis detected at the first stage is the easiest and fastest to treat, so remain sensitive to the body’s signals and begin the fight against the first symptoms of the disease in a timely manner.

Forecast

In approximately 70% of patients whose atopic dermatitis began at an early age, the symptoms completely disappear over time, while in the rest they recur under the influence of external circumstances. The prognosis of the disease is favorable, but its presence can lead to social maladjustment. With timely, high-quality treatment, to which the patient shows great responsibility, it leads to stable remission.

Since atopic dermatitis has a general allergic tendency, it is possible to develop other allergic diseases in the future, usually associated with the respiratory system (allergic rhinitis, bronchial asthma, etc.).

Bibliography

Adaskevich V.P. Perioral dermatitis: clinical picture, diagnosis, treatment / V.P. Adaskevich // Dermatology. – 2008. – No. 1. – P. 17–20.
Grashkin V. A. Diagnostic criteria, epidemiology and substantiation of clinical and pathogenetic types of perioral dermatitis / V. A. Grashkin, M. S. Gromov // Voenmed. magazine – 2010. – No. 10. – P. 32–45.
Rodionov A. N. Dermatocosmetology. Lesions of the facial skin and mucous membranes. Diagnostics, treatment, prevention / A. N. Rodionov. – St. Petersburg. : Science and technology, 2011. – 912 p.
Karelina O. Yu. Perioral dermatitis: treatment with azelaic acid / O. Yu. Karelina, Yu. M. Karelin // Klin. dermatology and venereology. – 2006.

About the procedure

Perioral dermatitis
is a facial skin disease characterized by the appearance of small papules and pimples in the chin area and around the lips, redness and irritation of the skin in the affected areas.

Typically, perioral dermatitis occurs in women aged 17 to 30 years, and at first, patients, confusing it with acne, do not consult a dermatologist, trying to get rid of the disease on their own.

However, cosmetic products for acne do not give results and, moreover, they can provoke the spread of dermatitis and an increase in the area of the affected areas.

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