Allergy on the chin (perioral dermatitis) occurs as a result of manifestations of various diseases, which are based on the body's immune reactions to the introduction of various allergens.
An allergic reaction of this form can occur in patients of any age group: women, men and children. However, a child has a much higher chance of developing allergic symptoms, since they have an underdeveloped immune system.
Very often, an allergic reaction in the chin area contributes to the development of atopic dermatitis in children and adults, creating psychological discomfort in the patient associated with cosmetic changes in appearance.
Dermatitis on the chin
IMPORTANT!
In order to save the article to your bookmarks, press: CTRL + D DOCTOR, and you can get a FREE ANSWER by filling out a special form on OUR SITE, follow this link >>>
Treatment of perioral dermatitis on the face
The occurrence of various rashes and inflammations on the skin of the face almost always indicates the presence of some health problems. Perioral dermatitis is a rare disease that most often affects women and girls between the ages of twenty and forty.
What is the perioral region
The area around the mouth on the face, which includes the chin and perioral skin, is called the perioral region. The skin in this area is very often exposed to all sorts of irritations, resulting in acne or rashes. Such phenomena usually cause severe psychological discomfort, especially when it comes to young women.
What is perioral dermatitis
Oral dermatitis is a skin disease that occurs on the areas of the facial skin around the lips.
Most patients diagnosed with this disease are women of reproductive age, but in recent years this type of skin disease has been increasingly found in children.
Some experts consider this disease to be a form of seborrheic dermatitis, and it is also often called rosacea-like.
With this disease, small pockets of inflammation begin to appear on the chin and in the area near the mouth,
Perioral dermatitis - in medicine it is also called rosacea-like or perioral dermatitis. This is a rare disease, occurring in approximately 1% of the population, most often in women 20-40 years old.
With perioral dermatitis, small papules and pimples appear on the skin around the mouth and on the chin, the skin turns red, irritation appears and papules grow over a larger area. This creates considerable aesthetic, physical and psychological discomfort for a person.
Within a few months, the skin around the mouth and chin became simply red, and when the acne healed, it left dark spots. Moreover, between the lips and the affected areas around the mouth there is a clear strip of healthy skin without redness...”
Symptoms of perioral dermatitis
- Pain, itching, burning, redness, a feeling of tightness of the skin, and small red pimples appear in the area of the chin and mouth.
- Pimples may have heads that release clear liquid when emptied; over time, pimples become ulcers.
- Pimples form colonies, group clusters
- The skin in the inflamed areas begins to become covered with thin transparent scales, which then fall off
Most likely, this skin inflammation is caused by perioral dermatitis. But to clarify the diagnosis, you should definitely consult a dermatologist, since the appearance of acne and irritation on the face can be due to other reasons:
- Diffuse neurodermatitis
- Allergic contact dermatitis
- Seborrheic dermatitis
- Acne vulgaris, rosacea, steroid acne.
To isolate the microflora of the lesion site and determine the pathogen, a bacterial culture of the scraping or contents of the rash is carried out.
The skin around the mouth may not be changed and present a normally colored border of up to 2 cm. Usually, the rashes are located on slightly reddened skin or the skin does not change color.
Causes of perioral dermatitis
- Decreased humoral and cellular immunity
- Climate change, excessive exposure to ultraviolet radiation
- Increased sensitivity to bacterial allergens
- Long-term or even short-term use of topical corticosteroids in the form of creams, ointments (see a complete list of all hormonal creams and ointments - Psoriasis Ointments)
- Predisposition to allergic reactions, presence of allergic rhinitis, bronchial asthma
- Quite sensitive facial skin
- Excessive use of various facial cosmetics
- Hormonal imbalance in gynecological disorders
- Use of dentures, toothpastes containing fluoride
- Disorders of the gastrointestinal tract, nervous system, endocrine system
- Ointments, creams for dermatitis
- Creams and ointments for psoriasis
- Treatment of dermatitis on the hands
- Treatment of atopic dermatitis in adults
- How to treat eczema on hands
- Treatment of dyshidrotic eczema
- Allergy creams
- How to take antibiotics correctly
Symptoms of perioral dermatitis
Perioral rosacea always manifests itself as pronounced rashes on the face, which is difficult not to notice in the photo. The symptoms of dermatitis are similar to those of other skin diseases.
Perioral dermatitis: causes, symptoms, photos
Perioral dermatitis has the following clinical manifestations, which are difficult not to notice in the photo:
- severe redness around the mouth with pronounced contours of the affected area,
- the formation of red bumps, similar to pimples, in the area of the lips, chin, nasolabial folds, less often around the eyes, on the eyelids. The size of the bubbles does not exceed 2-3 mm,
- swelling of the skin,
- feeling of tightness, dryness, itching, pain,
- the formation of fluid in pimples, which over time turns into pus,
- the appearance of scales, which subsequently peel off.
The severity of symptoms depends on the duration of the dermatitis and periods of exacerbation or remission. The photo shows the symptoms of perioral rosacea, taking into account the stage of the disease.
Often, people suffering from perioral dermatitis self-medicate, as a result of which, after using inappropriate medications, additional symptoms arise that aggravate the situation; see the photo for clarity:
- thickening, roughening of the skin,
- lumpiness and unevenness of the skin,
- disorder of skin pigmentation with painful sensations.
Note! A characteristic feature of perioral disease is a narrow, two-millimeter strip of skin between the lips and the inflamed area.
Risk factors and groups
Most often it affects women and children. In men and people aged 50+, a perioral immune reaction is extremely rare. Young girls under 30 and young children are at particular risk.
The occurrence of allergies is provoked by the following factors:
- Hereditary predisposition. The presence of immune abnormalities is transmitted at the genetic level. A child who has a close relative with similar problems has a 50-70% risk of developing an allergy.
- Bad ecology. An increase in allergenic air levels provokes a rapid process of urbanization and industrial growth.
- Decreased immunity due to frequent recurrent or acute diseases.
- Infectious diseases and antibiotic therapy.
- Frequent stressful situations.
- Using low-quality cosmetics or incorrect selection of cosmetics.
- The presence of bad habits - alcohol abuse, smoking, overeating.
- Failure to comply with nutritional rules. This reason especially affects infants - untimely introduction of complementary feeding and supplementary feeding, incorrect choice of milk substitutes, as well as older children - consumption of fast food, out-of-season products, products with dangerous additives.
- Early termination of breastfeeding.
- Complications in the mother and fetus during pregnancy: gestosis, fetal hypoxia, premature birth, etc.
- Hormonal surges – adolescence, pregnancy, menopause, hormonal imbalance.
- Work in hazardous production.
- Immaturity of the immune and digestive system in children under 3-5 years of age.
- The presence of parasites in the body.
Description of the disease
Perioral or, as it is also called, perioral dermatitis mainly affects the skin area around the mouth, but the pathological focus can also spread to the forehead, eyes or nose. According to statistics, women most often experience perioral dermatitis, but men can also show signs of this type of dermatitis.
What is perioral dermatitis
Carrying out diagnostics
Before starting therapeutic measures, the doctor collects anamnesis from the patient in order to determine the cause of the development of the allergy, its nature and intensity of symptoms. It is mandatory to determine a person’s genetic predisposition to allergic manifestations.
After collecting an anamnesis, a laboratory examination is prescribed, including a blood test to determine immunoglobulin levels. It is this indicator that is responsible for the intensity of the development of the allergic reaction.
If necessary, allergy testing is recommended. With their help, you can find out exactly what substance is causing your skin to itch. It must be borne in mind that skin tests can only be performed on a child under the supervision of the attending physician, since in children the immune reaction can be completely unexpected.
After completing the necessary examination, a comprehensive treatment is prescribed, which has the necessary effectiveness and leads to a positive result.
Prevention measures
In order not to encounter unpleasant signs of oral dermatitis in the future, it is necessary to take the following preventive measures:
- do not use ointments or cosmetics of the corticosteroid type;
- Avoid using fluoride toothpastes;
- try not to use household chemicals for a while, especially if they contain allergenic substances;
- give up bad habits and lead a healthy lifestyle - this will prevent most skin diseases;
- Maintain oral hygiene.
Prevention of perioral dermatitis
The prognosis for perioral or perioral dermatitis is positive, but only in cases where the diagnosis is timely and treatment is prescribed by an experienced specialist.
Video - Features of the course and treatment of perioral dermatitis
source
Causes
An itchy chin can affect a man, woman, or child. It has been noted that the weaker sex is more susceptible to this problem due to the frequent use of various decorative and cosmetic products. But first things first.
In medicine, the most common reasons why the chin may itch are:
- Demodex mite. Infection can cause not only obsessive itching, but also other problems. In areas affected by mites, redness and peeling appear. There is a multiplicity of inflammatory elements characterized by a porous structure.
- Acne. If inflammatory processes occur in the sweat, sebaceous glands or hair follicles, itching in the chin area may occur. Very often it is internal deep pimples that cause severe itching.
- Development of eczema. Both weeping and dry eczema cause not only itching, but also provoke the appearance of peeling, the appearance of plaques, which have a red, inflamed rim.
- Excessive addiction to alcohol and smoking.
- Insufficient facial skin care.
- Some diseases, a symptom of which may be itching: blood diseases (including anemia), somatic disorders, type 2 diabetes mellitus, etc.
- Stress in the body that develops under the influence of various factors.
- Increased sensitivity or dry skin. Epithelial irritation can occur for various reasons. For example, it can be caused by chapping, frostbite, thermal, solar or chemical burns. This problem is quite common among men with sensitive skin. The razor blade damages the upper epithelial layer, which leads to severe irritation accompanied by itching.
- Herpes. Usually the formation of herpetic papules is preceded by itching. In addition, the skin in places where tumors appear begins to turn red.
- One of the most common causes of an itchy chin is an allergic reaction.
Regarding the last point, it is allergies that most often provoke discomfort, expressed in itching of the chin. Anything can be an allergen:
- medications;
- food and drinks;
- pet hair;
- home and industrial dust;
- pollen;
- insect and animal bites;
- ultraviolet rays, high and low ambient temperatures;
- cosmetical tools.
Women may be allergic to decorative cosmetics and skin care products. For example, when using foundation creams, lotions, or gels, the cause of the reaction may lie either in individual intolerance to individual components of the product or in their incorrect use. In particular, a woman does not always apply and remove, for example, foundation correctly, which causes the sebaceous or sweat glands to become clogged. Hence all the ensuing consequences.
Often, in the event of an allergic reaction, not only the chin begins to itch, but also the neck, cheeks, and forehead. Swelling of the epidermis, a burning sensation, areas of redness, and a rash may appear. In order not to wait for the condition to worsen, you need to respond to the problem as quickly as possible.
Why does a rash appear under a woman's chin?
This area of the face is very delicate, tender and characterized by increased sensitivity.
In addition to the above reasons for the appearance of a rash under the chin, this problem can arise against the background of absolutely banal provoking factors:
- irritation from constant contact with clothing (sweater, scarf, jacket/coat collar),
- lack of care in this part of the face (banally ignored),
- improper hair depilation (in some women),
- use of inappropriate care products.
Diagnostic features
Before talking about therapy, the doctor will definitely give a referral for examination of the child. The purpose of diagnosis is to confirm the presence of an allergy and determine the substance that provoked such a reaction. The examination will consist of the following stages:
- taking an anamnesis - the doctor must find out what potential allergens the child has been in contact with recently, he is also interested in whether there are any allergies in the baby's family - in this case, the tendency to allergies will be quite high;
- laboratory blood tests, their task is to determine the level of immunoglobulin E. This protein is responsible for the development of an allergic reaction and its intensity;
- allergy tests - they allow you to determine which substance caused the child’s allergy, and accordingly, increase the effectiveness of further treatment.
Once the diagnosis is complete, treatment will be prescribed. It is usually represented by a comprehensive program with high results.
Factors in the development of the disease
Provocateurs of oral dermatitis are:
- hormonal imbalances caused by adrenal dysfunction;
- the use of fluoride-based toothpaste, low-quality cleansers and decorative products, which thin the skin and make it vulnerable to harmful bacteria;
- chronic infections;
- dysfunction of internal organ systems, diseases of the central nervous system;
- tendency to allergies;
- weak immunity;
- defective functioning of the gastrointestinal tract;
- long stay outside in direct sunlight.
How to treat allergies on the face
It is accompanied by dry skin, rash, runny nose and tearfulness, like during a cold. If such signs of illness occur frequently, it is necessary to visit an allergist, but how can a person help himself in such cases? It is possible to treat mild allergies on the face (tears, runny nose) with drops and sprays; they will easily relieve symptoms. If an allergy occurs due to taking a medicine or a specific product, it must be discontinued immediately.
How to get rid of allergies on the face? You should try to avoid anything that can provoke it (medicines, fruits, berries, other foods). His relatives, colleagues, and attending physician should know about the presence of such a reaction in a person’s body. It should be noted right away that with anaphylactic shock, which develops within half an hour, you cannot do without the help of a specialist, and this must be remembered.
An allergic reaction on the face with symptoms such as inflammation of the eyes, throat, and bronchi is accompanied by intense production of histamine, so antihistamine tablets for allergies on the face are prescribed to relieve symptoms. There are three generations of drugs that are prescribed individually, depending on the patient's symptoms.
The following popular drugs can be named:
- Cetirizine. An effective antihistamine that penetrates well under the skin, therefore it is often prescribed for papules and skin rashes. When Cetirizine is taken correctly in children with early atopic syndrome, the possibility of developing atopic conditions in the future is reduced. Cetirizine is contraindicated in people with liver disease and in infants.
- Fexofenadine. The effect of the drug is such that the patient does not feel drowsy, so the medicine can be taken during the day. This drug is considered an effective and safe remedy. The medicine is contraindicated in patients under six years of age.
An allergic rash on the face can be treated with non-hormonal and hormonal ointments. Non-hormonal drugs do not affect internal organs, but act more slowly than hormonal drugs. They accumulate in the body and do not guarantee that the disease will not return if the cause of the allergy is not eliminated. An ointment for allergies on the face is prescribed depending on the manifestation of symptoms.
A powerful medication against facial allergies can be called a hormonal ointment, which is not prescribed at the beginning of the disease. It is used after non-hormonal drugs. Treatment is carried out as prescribed by a dermatologist and must comply with the dosage. This type of ointment has a number of contraindications and side effects, but allows you to achieve good results in a short time.
The most popular antiallergic ointments:
- With antibiotics - Levomekol, Levosin, Fucidin;
- Hormonal drugs – Advantan, Elokom;
- Non-hormonal drugs - Solcoseryl, Radevit, Actovegin.
Folk remedies
There are many folk recipes that can help alleviate facial allergies, but you need to choose ingredients with caution. It is necessary to know exactly your allergens and not provoke an exacerbation of the disease
To eliminate possible negative consequences, you should get recommendations from a dermatologist and prescribe an exact treatment regimen.
Folk remedies for facial allergies:
- A tincture of duckweed and vodka is easy to make. Clean, fresh duckweed is poured with vodka and left to steep for a week. Take 10 drops of the product, diluted in half a glass of water 4 times a day. Therapy is carried out for 4 weeks.
- A decoction against facial allergies based on cocklebur works slowly but reliably. Take 20 grams of grass inflorescences and 200 ml of water. Infuse the decoction for a day, then drink 1/3 of the total volume of liquid. Treatment lasts six months.
- The yarrow recipe is often used at the onset of allergies. To prepare it, take 40 g of pharmaceutical herb and a glass of water. The raw material is poured with boiling water for half an hour, decanted and drunk 4 times a day, 50 g each. The course of treatment is at least 10 days.
Treatment tactics
Therapeutic treatment of allergies consists of several techniques, each of which has its own purpose.
First of all, avoid contact with allergens. Including food, medicines, cosmetics, household chemicals, hygiene products, etc.
For any type of allergic reaction, it is recommended to take antihistamines. They reduce the intensity of allergic symptoms. Recently, second-generation oral antihistamines (Zyrtec, Loratadine, Claritin, etc.) are most often prescribed. These drugs have minimal side effects and do not depress the central nervous system.
External hormonal and non-hormonal antiallergic ointments and gels are often used.
First, a non-hormonal ointment is prescribed, since it is safest for women and children, and is quite capable of coping with allergic rashes on the chin. And only if the skin still itches and the allergic symptoms do not go away, it is recommended to use a hormonal external remedy. However, it should be remembered that hormonal drugs are prescribed for a short course. Otherwise, various complications may arise, including hormonal disorders.
Treatment of allergies on the chin using traditional medicine
In addition to drug therapy, folk recipes for relieving allergies are widely used. The natural components that make up the herbs have practically no side effects and do not overload the liver, which is attacked by allergens during illness.
Recipes for treating allergies:
- 1 tbsp. a spoonful of dry celandine herb is poured with 2 cups of boiling water and infused for at least 4 hours. It is used in the form of lotions and compresses applied to the skin if it is very itchy.
- 1 tablespoon of dry chamomile is brewed with 0.5 liters of boiling water and infused for half an hour. After this, it is recommended to make compresses and lotions with this solution to neutralize itching and relieve irritation.
- The allergy worsens most clearly in the evening and at night, disturbing the patient’s sleep. Children suffer more from this. They cannot control their condition and become restless. To alleviate the child’s condition, it is recommended to make decoctions from a mixture of marsh rosemary and pansies before bedtime. To do this, take 2 tablespoons of dry herbs and fill them with 0.5 liters of hot water. The solution is infused for at least half an hour, and then added before the child’s night bath.
- A mixture of rose hips (70 g), chamomile (30 g), horsetail (40 g) and 60 g each relieves itching and swelling well. dandelion, St. John's wort and centaury. All these herbs are brewed with 1 liter of boiling water, cooled and used as lotions in the chin area. As a rule, after such treatment the skin does not itch and allergic symptoms practically disappear.
To prevent allergic diseases, it is recommended to follow preventive measures, which include following a hypoallergenic diet, strict control of the composition of cosmetics, and timely protection from cold and sunlight.
When the first symptoms of the disease appear, you should consult a specialist. With the right approach to your own health, you can avoid various allergy complications.
Perioral dermatitis in children
The first symptom of the onset of the disease in a child is a rash around the mouth. It may appear on the chin while eating and then disappear. When perioral dermatitis in children begins to progress, the redness becomes persistent. If the disease is not treated, the areas affected by dermatitis will turn blue. Dilated small vessels become visible. If a doctor diagnoses a child with this disease, you must:
- limit baby's contact with water;
- remove fatty, salty and sweet foods from the menu;
- Stop using cosmetics that are not certified by medical centers.
The disease occurs very rarely in children. It is provoked by hormonal changes in the body, the use of sprays or creams with glucocorticoids. During hormonal changes in newborns, the disease goes away within a month. If the rash is caused by the use of hormonal medications, then the treatment period, as in the case of adults, will be 3-4 months.
Types of rashes
A large number of small red pimples often appear as a result of improper skin care or dietary errors.
Purulent pimples appear when an infection joins the inflammatory process.
Internal acne is the most dangerous. This means that staphylococci or streptococci have penetrated into the sebaceous duct, which form one large subcutaneous pimple, very painful and very ugly. Your doctor can tell you in detail how to get rid of such large pimples on the chin.
But what should those who do not have the opportunity to visit a doctor do, but want to get rid of acne quickly? Here you can use popular medications, which can be purchased at any pharmacy.
Chronic neurodermatitis and its treatment
Chronic neurodermatitis is a skin disease from the group of allergic dermatoses, the occurrence of which is based on allergic reactions and a disorder of nervous regulation. The main symptoms of the disease are skin itching and rashes.
Neurodermatitis is an external manifestation of the dysfunction of the immune and nervous systems, which are unable to adequately respond to external stimuli (penetration of antigens into the body). Immune reactions have increased “aggressiveness” and are directed at one’s own tissue structures.
The skin is mainly affected, in which, under the influence of antibodies, damage to collagen fibers and intercellular substance occurs. This is manifested by swelling, redness, and the appearance of a rash. Severe irritation of the nerve endings causes one of the main symptoms of the disease – itching.
Causes of neurodermatitis
The disease is multifactorial - without a clearly defined cause. For its occurrence, a combination of several internal (determining the body’s predisposition and increased readiness for allergies) and external (trigger) factors is required.
Genetic predisposition can be traced quite clearly. Parents who have been diagnosed with neurodermatitis have a high chance of giving birth to a child who will also be susceptible to allergies. In this case, it is not the disease itself that is inherited, but the predisposition to it - the structural features of connective tissue, immune system organs, and brain structures.
The nervous system, its condition and functional activity are one of the leading factors in the appearance of neurodermatitis. Its congenital lability (instability), which manifests itself as a tendency to nervous breakdowns and depression, is often present in patients with neurodermatitis. Disorders acquired as a result of emotional shocks and chronic fatigue also take place in the development of the clinical picture of the disease.
The triggering factors for neurodermatitis are a wide variety of substances, mostly organic in nature. These may include food, wool, hair, pollen, perfumes, fabrics, dust, paints and many other compounds.
Symptoms of neurodermatitis
The main symptoms of the disease are:
- The appearance of a rash in the face, neck, elbow and knee bends, and genitals. The rash is accompanied by peeling and redness (hyperemia).
- Itching, the intensity of which can be very pronounced, as a result of which the patient begins to intensively scratch the elements of the rash. This can lead to mechanical damage to the surface layers of the skin and infection (suppuration).
- Depressed state, lethargy, apathy.
Treatment of the disease
Treatment of chronic neurodermatitis must correspond to its multifactorial nature and be systemic in nature.
Basic therapeutic measures for neurodermatitis:
Identification of the allergen and complete exclusion of the patient’s contact with it. Sometimes this is not possible (if the allergen is very widespread, for example, house dust). In this case, organizational and hygienic measures are taken (ventilation, frequent wet cleaning, exclusion of carpets, etc.).
Drug treatment, which includes:
- Antiallergic drugs (antihistamines, steroid hormones).
- Regulators of immunity.
- Sedatives and antidepressants.
- Sorbents.
- Local treatment with ointments and lotions, which contain antiallergic and analgesic components.
Physical factors of influence (physiotherapy, spa treatment, balneotherapy, etc.).
Diet. If the allergen that causes the disease is food, this product is completely removed from the diet. Otherwise, the diet is of a nonspecific exclusionary nature (the consumption of smoked meats, herbs, spices, strong tea, coffee, chocolate, and fatty foods is limited). Liquids should be consumed in large volumes; fasting days are recommended.
Chronic neurodermatitis has a multifactorial nature and is prone to repetitions (relapses). Treatment of the disease is systemic in nature and should be carried out by a specialist who is able to take into account all the characteristics of a particular patient and variant of the disease.
- What to do if you have a pollen allergy (hay fever)?
- Which doctor treats psoriasis?
- Is there any disability for psoriasis?
- Guinea pig allergy: symptoms and treatment
- What is atopy?
- Allergy325 Allergic stomatitis1
- Anaphylactic shock5
- Urticaria24
- Quincke's edema2
- Hay fever13
- Atopic dermatitis25
Drug treatment
Although the disease has unpleasant symptoms and significantly complicates the patient’s life, effective methods for its treatment have been developed.
Treatment for oral dermatitis on the face usually occurs in two stages or phases.
Stage one - this stage is also called zero, due to the fact that it is a kind of basis, preparation for the start of treatment. At this stage, all hormonal medications are discontinued, as well as the use of cosmetics and care products that contain elements that provoke the onset of the disease.
Proper skin care is also important. Early stages of the disease allow you to treat the skin with chamomile decoction or sage decoction, which replaces a cosmetic tonic; complicated symptoms of the disease require more careful care and the use of special oil-based emulsions. Also, acute steroid dermatitis allows the use of 2% naphthalene-tar paste as a care product.
At this same stage, specialists usually prescribe drugs for external use. Often used:
- Products based on Trichopolum (Metronidazole). Both ointments and cream or gel preparations are suitable. It is recommended to use them at least 2 times a day. The most effective treatment of perioral dermatitis is achieved through a combination of Metronidazole (in gel form) and a 2% bacteriostatic antibiotic Erythromycin, which complements the effect of the gel.
- Face and body milk Protopic 0.01% - 0.03%. This drug is a topical remedy, used to relieve inflammation and has no harmful effects on the skin. Adults are prescribed a high concentration (0.03%), and children are prescribed a minimum concentration (0.01%). Use milk at least 2 times a day.
- Dermatitis is traditionally treated with drugs that contain zinc. Well-recommended products: Sken-Cap, Tsin Dol, as well as various zinc talkers. Zinc in preparations intended to combat skin diseases has an antipruritic and drying effect.
- Retinoic acid substitute Adapalene, available in gel or cream format. The drug is suitable for the treatment of any form of dermatitis, has an anti-inflammatory effect and has a positive effect on the epidermal intercellular process. The drug in gel form is effective for use by those with oily skin, while the cream is recommended for patients with dry skin. The course of use of the product is 14 days.
- The drug Elidel is prescribed by dermatologists for the treatment of skin diseases from a very young age. The course of treatment with Elidel is about two months, and during this time the drug almost completely relieves inflammation, itching and redness. The greatest results in treatment can be achieved when combined with other drugs that have an anti-inflammatory effect.
- Steroid dermatitis is effectively treated with Rozamet. Rozamet has a mild effect, is practically not absorbed into the skin and is well absorbed. However, this drug must be used with caution - avoiding contact with the mucous membrane of the eye, and also avoiding exposure to direct sunlight.
- In addition to external use, doctors often prescribe antiallergic drugs such as Zyrtec, Suprastin, Erius, etc.; for more serious stages of dermatitis, it is permissible to use sedatives such as Novo-Passit or Valerian.
The second stage of treatment involves combating the cause of skin inflammation. At this stage, antibacterial drugs are prescribed:
- Metronidazole;
- Azelaic acid;
- Doxycycline;
- Tetracycline;
- Monocycline;
- Isotretionine.
The course of treatment with antibacterial drugs is at least 2 months until the symptoms of the disease are completely relieved. When treating perioral dermatitis, dermatologists usually recommend Metronidazole, which should be used for 4 to 8 weeks at a dosage of 0.5 - 1 gram per day.
Another common remedy is Doxycycline, which has the ability to penetrate intracellularly and quickly neutralize the pathogen. It is used 2 times a day, subject to a dosage of 100 mg, the effect of the drug occurs 2 hours after use.
Oral dermatitis is also treated with inhibitors, which include the drugs Pimecrolimus and Tacrolimus, used in combination with Monocycline.
Diagnostics
When the first symptoms occur, you must contact a medical facility.
You will need to consult a therapist (pediatrician), dermatologist and allergist. Diagnostic measures
Study | What does it show | Indications |
General blood analysis | Number of basophils and eosinophils, hemoglobin level | Harmless methods, since there is no direct contact with the allergen. Blood testing is carried out after it is collected in a laboratory. |
Determination of total Ig E | Total Ig E content | |
Detection of specific Ig E | Reaction to used allergens | |
Scraping the affected area | Eliminates dermatological problems | |
Allergy tests | Detects allergen | It is not recommended for children under three years of age, as there is direct contact with the allergen. Their skin is too sensitive and can give false positive responses. Cannot be used after anaphylaxis. |
Allergy tests
Type of test | Method of implementation |
Applique | The strips soaked in allergens are fixed on the skin for two days, after which the result is assessed. They cannot be removed or wet. |
Scarification | Drops of the allergen are applied to the dermis and scratches are made with a scarifier, an assessment is given after 20 minutes |
Prick test | Allergen concentrates are applied to the skin and punctures are made with a lancet, the result is assessed after 20 minutes |
Provocative | Irritants are applied under the epidermis, to the mucous membranes of the nose, eyes, mouth using drops or spray, inhalation |
The provocative method is extremely dangerous due to the possibility of developing an immediate acute reaction up to anaphylactic shock, therefore it is not performed for children, and also for adults in case of some diseases. Used in rare severe cases or if other methods have not given the desired result.
Localization and prevalence
Perioral dermatitis is localized on the face, in the area of the nasolabial triangle (chin, nose, skin around the lips). In this case, there is a thin strip of healthy skin directly next to the oral cavity. In rare cases, changes affect the neck, forehead and area around the eyes (periorbital dermatitis).
This problem affects 1% of the world's inhabitants. As we have already said, most patients are women of reproductive age; very rarely the disease affects men.
Treatment for chin irritation
Basic tips for treating chin irritation are: special skin care; normalization of the general condition of the body; taking antihistamines and antibiotics; skin protection
Treatment for this problem is quite lengthy; in advanced cases, it can range from several months to six months.
In medical language, such irritation of the skin on the chin is called perioral dermatitis and, unfortunately, occurs not only in adults.
Irritation on a child's chin is not such a rare occurrence.
However, the basic treatment recommendations are almost the same for any age group. 1. Special skin care - when treating this problem, you should switch to gentle cleansing of the face, use gentle foam for washing, and choose a suitable cooling and moisturizing cream. 2. Normalization of the general condition of the body - it is necessary to reconsider your own lifestyle, eliminate fried and smoked foods, introduce more fresh fruits and vegetables into the diet, and start taking immunostimulating drugs. 3. Taking antihistamines and antibiotics - depending on the cause that provoked the development of this type of dermatitis, the doctor may prescribe treatment, which will include taking antihistamines and antibiotics until the inflammation is completely eliminated. 4.Protection of the skin - during the entire treatment period, the period of exposure to direct sunlight should be reduced, and a special sunscreen with a very high protection factor should be applied to the skin.
The figure shows organs whose malfunction can lead to acne on the chin
If acne appears in the chin and neck area, you need to pay attention to the functioning of the internal organs, for this you should consult a doctor and get tested. to get a competent answer to this question. To get rid of the discomfort and inconvenience associated with small skin rashes in the facial area, first of all, you should find the causes, and only then determine the source of inflammation and try to eliminate it
To get rid of the discomfort and inconvenience associated with minor skin rashes in the facial area, first of all, you should find the causes, and only then determine the source of inflammation and try to eliminate it.
You should pay attention to the facial procedures you perform and check the expiration date of cosmetic products. You should also reconsider your diet, maybe the reason for the appearance of irritation on the chin lies precisely in this
You should also reconsider your diet; maybe this is the reason for the appearance of irritation on the chin.
The healing process can be long, so you need to be patient. Strict adherence to all the instructions of a qualified specialist will ensure that the irritation on the chin disappears completely.
The first signs of perioral rosacea
The first signs of steroid dermatitis of the face are characterized by redness of the skin, which is more pronounced when eating spicy and hot foods, which is noticeable in the photo.
Some time later, the epidermis acquires a brighter shade and becomes covered with small pustules, similar to acne, which subsequently turn into crusts and peel off (see photo of the inflammatory process).
Perioral dermatitis photo
During the course of the disease, the color of the perioral rash changes from red-brown to light brown; changes are noticeable in the photo. The localization of the rash on the chin, nasolabial folds, nearby corners of the lips, cheeks is symmetrical, sometimes the pimples merge together. Single rashes may form on the temples and bridge of the nose.
Fact! Some people are diagnosed with diffuse inflammation of the entire face with a white stripe between the border of the lips and the area of inflammation. The photos convey the full severity of the process with pain and burning in the area of the mouth and chin, the formation of small pimples, the heads of which open and the separation of transparent and subsequently purulent exudate is observed.
Steroid dermatitis: classification of the disease
There are 2 main classifications of the disease: according to the severity of symptoms and according to the location of the rash.
According to the location of the rash, they are distinguished:
- perioral dermatitis itself. The rash is located around the mouth and on the chin.
- periorbital dermatitis. The rash may appear on the bridge of the nose, cheeks and around the eyes, mixed form. Combines the symptoms of perioral and periorbital dermatitis. This form is more common than others.
- Steroid dermatitis, like all other diseases, is also classified by severity. But to determine the severity of the disease, there is a special index (PODSI) - it includes characteristics of such signs as redness, papules (nodules) and peeling. Each of these symptoms is rated on a scale from 0 to 3 points. Intermediate values can also be used, for example, 1.5 or 2.5 points. The scores are then summed up to form the PODSI index, which can be used to determine the severity of the disease.
With a mild degree of the disease, the index is in the range of 0.5-2.5, with perioral dermatitis of moderate severity this value is 3.0-5.5, and if the index is in the range of 6.0-9.0, then we can conclude that the disease is severe.