Steroid induced perioral dermatitis treatment

My doctor sent me to a dermatologist-he took one glance and declared I had perioral dermatitis. Put me on a course of antibiotics. It would clear up, and then start coming back. The dermatologist keep saying don’t worry we have more antibiotics to try. I tried 3 different kinds with the same results and decided to go off completely. Went to a naturopath-was prescribed a bunch of extremely expensive stuff-didn’t work. Decided to live with PD. Tried every natural remedy known to man. Would flare up and subside, but never go away. Then I became pregnant and after my baby was born I decided I had to do something about this as the flareups were getting worse and leaving scars. During my pregnancy I’d met a girl in my friends clothing shop who had claimed to have had PD, even though her skin was beautiful, and said she had gone to so and so at WellSpring health Vitamin shop and taken what he prescribed. Now I had a Homeopath for a sister-in-law who couldn’t help me and also a good friend who worked in a vitamin store who had not been able to help me either. I was decided it was worth it anyway. This person listened to me, asked me my blood type and heard all my symptoms. He said I need to be on high doses of B5-pantothenic acid. Combined with New Chapter breast feeding formula vitamins 3 x’s a day, fish oil, high dose probiotics and magnesium plus NAC-N-acetyl Cysteine. So we are taking about 1000mgs of B5 3x’s a day. NAC before bed. Magnesium 3 x’s a day, probiotics 3 x’s a day, fish oil once and breast feeding vitamins 3x’s a day. Well, within 12 hrs that familiar burning inflammatory skin feeling went away. Then 24 hrs later the PD started to fade, just fade away. Within a week-it was gone. I was on this cycle of vitamins for 6 months-then lowered the doses of B5. Now, years later, I take this combo to maintain when I’m feeling stressed or I notice one or two tiny red bumps-which always appear around my period.

Steroid induced rosacea can be caused by the prolonged (usually daily) use of a topical steroid on the face.  The presentation is typically of inflammatory acne lesions consisting of pustules, papules, and cysts. We treat steroid induced rosacea by gradually weaning the patient off the topical steroid while simultaneously treating with either a topical or systemic antibiotic. In my experience, steroid induced rosacea is not permanent when treated correctly. I recommend you consult with a board-certified dermatologist to make sure your condition gets resolved in a proper manner and time frame. 

Treatment should be sought immediately in order to avoid hospitalization. If not treated, hospitalization for an extended period of time (usually two weeks) is likely. During hospitalization, the patient is tested for signs of system degradation, especially of the skeletal structure and the digestive tract. By this time open sores will develop on the upper torso. Some will be the size of dimes, others will be large enough to stick a couple fingers into. They will crust up, causing cohesion to any fabric the sores touch, which is extremely painful to remove. It is recommended to sleep on one's sides until the cystic condition subsides, in order to avoid any uncomfortable situations. Debridement and steroid therapy is preferred over antibiotics . [6] Recurrent AF is extremely rare. Bone lesions typically resolve with treatment, but residual radiographic changes, such as sclerosis and hyperostosis, may remain. Scarring and fibrosis may result from this acute inflammatory process.

Perioral dermatitis carries an excellent prognosis and recurrences are rare providing initiating factors are avoided. Most individuals will start to improve within a few weeks of treatment. If perioral dermatitis recurs, a further 6 week course of antibiotics is recommended. The use of a simplified skin care regime, coupled with avoidance of topical corticosteroids and heavy make-up can prevent recurrences. Consider referral to a dermatologist for resistant cases. Prevention, by avoiding strong topical corticosteroids on the face, is the best option.

Steroid induced perioral dermatitis treatment

steroid induced perioral dermatitis treatment

Perioral dermatitis carries an excellent prognosis and recurrences are rare providing initiating factors are avoided. Most individuals will start to improve within a few weeks of treatment. If perioral dermatitis recurs, a further 6 week course of antibiotics is recommended. The use of a simplified skin care regime, coupled with avoidance of topical corticosteroids and heavy make-up can prevent recurrences. Consider referral to a dermatologist for resistant cases. Prevention, by avoiding strong topical corticosteroids on the face, is the best option.

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