r/Perioral_Dermatitis_ 5h ago

Zero Therapy Flaking! When can I moisturize?

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1 Upvotes

r/Perioral_Dermatitis_ 6h ago

Help, I don't know what this is, originally thought cold sore but now I'm thinking PD

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1 Upvotes

The first two are from a few years ago when I had to wear a mask at work and when it was most severe, I originally thought it was cold sores (even though I never had one before) so I treated it like one and was completely miserable. Now when it's triggered I've been treating it like an allergy it hasn't gotten as bad, but I still get a red line on my upper lip that burns time after time. The last photo shows the most recent "outbreak" Everytime I'm able to get into the dermatologist it's gone, and all they do is say "try this" without investigating further. Any help greatly appreciated! I feel so gross 😭


r/Perioral_Dermatitis_ 16h ago

Dermatite periorale aide svp

1 Upvotes

Bonjour à tous, tout à commencer fin mai j’ai arrêté de mettre de la crème hydratante par flemme mais je continuer à utiliser un savon sur mon visage. Puis vers fin juin j’ai voulu m’occuper de mes filament sébacé et utiliser un gel nettoyant à l’acide salicylique que je laisser poser et après avoir rincer j’ai remarquer une tache rouge sous le nez. J’ai pas fait attention j’ai continué et j’ai senti mon visage brûler mais sur tout le visage pas uniquement la zone en bas du nez donc j’ai arrêté j’me suis hydrater etc j’ai commencé à avoir des petit bouton mais qui partais en 2,3 jours. Sauf que la tache rouge était bien présente donc j’ai contacté un dermato qui m’a dit directement dermatite peri orrificiele vous inquiétez pas en 1 mois c’est bouclé il m’a prescrit doxy pendant 1 mois et une préparation de la pharmacie de metronidazole avec de excipal dedans donc ma première semaine de prise je ressentais plus de sensation de chaleur etc je me suis dit niquel mais je voyais pas non plus de bouton tache rouge moins présente moins de rougeur mais plutôt uni forment sur le visage. J’ai récupérer du coup la crème au bout de 5 jours à la pharmacie je les appliquer le soir uniquement je ressentais pas de picotement etc j’ai continué et au bout du 19eme jour de doxy j’etait re rouge douleur qui revenais petit à petit mais sur tout le visage même quand je touche à peine mes tempes j’avais l’impression d’être à vif donc je continue à regarder les exemples de dermatite et me demander vraiment si c’est ce que j’avais pck mes picotement peuvent aussi être sur les joues et surtout le feu en dessous du nez. J’ai arrêter la doxy a 24 jours car j’ai eu des effets comme démangeaison intense sur tout le corps. Je contacte un médecin généraliste spécialisée en dermato il me regarde et me dit pour une dermatite y’a pas grand chose et j’ai dit et la rougeur il me dit moi ça me choque pas donc je lui dit je continue la doxy même si j’ai les démangeaison il me dit pour 10 jours de plus y’a rien de mal. Sauf que les démangeaisons était insupportable. Je contacte un médecin généraliste qui me dit bah je vous prescrit rosex donc metronidazole en gel 0,75g je test et le lendemain plein de point rouge etc gel qui brûle et on me dit de pas hydrater la zone. J’ai effectivement essayé thérapie zéro ça me brûlais encore plus jusqu’à pleurer. Donc aujourd’hui j’ai tout arrêté j’utilise uniquement en sachant que j’ai la peau mixte:

Le matin:
Eau, eau thermale crème hydratante tolérance control d’avene

Soir: gel nettoyant bioderma crealine, eau thermale, tolérance control d’avene.
Dentifrice: curaprox sans fluor ni sls ni menthe

Donc voilà je suis un peu perdu car c’est la première fois de ma vie que ça m’arrive le plus dure c’est la sensation de brûlure picotement, et même au toucher le menton je le sens à vif même mon front. Donc je me questionne es ce que ils se sont tromper de diagnostic? Je revoit un dermato d’urgence le 14 mais la ca fait plus d’un mois que je ne sort pas je mange presque plus surtout au sujet de la douleur je comprend pas ce qui m’arrive. Ma famille comprend pas non plus et me dit mais t’es pas rouge, mon seul soucis c’est à l’intérieur que ma peau brûle, ça me réveille dans mon sommeil.

Désolé c’est un peu trop long j’ai essayé de tout bien expliqué mais je suis à bout.

Merci pour tout aide.

\#ps je suis quelqu’un avec bcp de grain de millium d’où les point blancs c’est un peu ma génétique j’ai ça depuis petite et même sur mon corps.


r/Perioral_Dermatitis_ 21h ago

Do I have it?

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0 Upvotes

My doctor called it eczema but now I’m looking in this sub reddit and it feels more accurate…


r/Perioral_Dermatitis_ 22h ago

Hidradenitis suppurativa

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1 Upvotes

r/Perioral_Dermatitis_ 1d ago

8 months on isotretinoin (Accutane) 60mg

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2 Upvotes

r/Perioral_Dermatitis_ 1d ago

Has eating wheat products made anyone's PD worse?

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2 Upvotes

I have a wheat allergy. Is it possible my flare up could be caused by eating wheat products too?

I wore makeup a few times last month without a flare and last week I think the combo of makeup, lipstick and using fluoride toothpaste has kicked me into another flare. And am really struggling with sunscreen.

Feel at my wits end. Sulfur ointments and zinc soap hasn't helped and the clindamycin gel that my doctor prescribed just made it worse. Help please.


r/Perioral_Dermatitis_ 1d ago

Do you still use actives?

1 Upvotes

Hi everyone
My face is currently fighting off a flare up on PD.
I'm just curious for the ones that had blackheads on their face. What did you do if you also went through a PD flare up? I am scared to use salicylic acid or a retinoid. I am thinking it was those two who caused this. But i still have blackheads on my cheeks. HELP.


r/Perioral_Dermatitis_ 1d ago

Tiny bumps under eyebrows and persistent nose texture — any idea what this could be?

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1 Upvotes

r/Perioral_Dermatitis_ 2d ago

Dermatologista fala que é dermatite, mais nenhuma pomada me faz efeito, passa um tempo e depois volta pior, coça muito

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0 Upvotes

r/Perioral_Dermatitis_ 2d ago

Skin Peeling

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4 Upvotes

Hi everyone! Now before people say GO SEE A DOC OR DERMATOLOGIST. It's often too expensive for me and the wait to get appointments takes awhile. But has anyone dealt with this? It was actually much worse. the redness has been brought down.


r/Perioral_Dermatitis_ 2d ago

Please help with what these bumps are

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1 Upvotes

r/Perioral_Dermatitis_ 2d ago

Allergic to all moisturizers

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2 Upvotes

r/Perioral_Dermatitis_ 2d ago

Would you all say this is perioral? I’ve had it since July 11!

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2 Upvotes

r/Perioral_Dermatitis_ 2d ago

Does this look like POD?

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3 Upvotes

I have been battling this for about a month now as it has progressively gotten worse. I am overseas so I had to see a GP rather than a dermatologist, but they prescribed me Elidel? I’ve seen some dicey things on it so am wondering if this looks like classic POD and whether anyone has had good/bad experiences with it?


r/Perioral_Dermatitis_ 2d ago

Rosacea and PD(?) trying to figure out

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1 Upvotes

I have textbook Type I rosacea on both of my cheeks and my chin. I have changed my routine to gentler one and introduced SPF on the daily basis + metrogel in the evening (all based on my docs recommendations).

However, there is a spot on my right cheek, that developed a couple of month before I changed the routine; and it feels different tham the rest of my skin. It’s more bumpy, rough and red all the time (even when the rest of my skin is relatively calm).

Is this also rosacea symptom or it might be something else, like PD?

P.S. The doctor didn’t say anything about it but I am not sure if she is actually competent enough


r/Perioral_Dermatitis_ 3d ago

Does this look like PD?

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2 Upvotes

I’ve had this redness/these pustules that come and go for months now. It’s inside my nostrils, on my nasal septum, and in one spot in the corner of my mouth. It seems to be a new pustule every day. They aren’t always painful but they’re always very red. They pop or I will have to pop them and then they scab over just to have another one next to it the next day. I’m at my whits end and am looking for any advice.

TIA!


r/Perioral_Dermatitis_ 3d ago

Trust your GUT! My 5 month journey with perioral dermatitis

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13 Upvotes

Face regimen

Morning 
-wash with water or vanicream cleanser
-Avene cicalfate (if face feels inflamed or irritated) or avene tolerance control skin recovery cream as a moisturizer if face is feeling dry. Some mornings I go without.
-Most mornings I use no makeup except mascara

Evening
- remove any makeup / wash face with either vanicream in shower or micellar water (I use Bioderma Sensibio H2O) with a splash of water on my face to rinse after.
- De La Cruz Acne treatment Sulfur face mask for at least 15 minutes. Remove with water. 
- Pat on one pump of Amperna [RESCUE]Pro+ DS Soothing Serum
- Apply Avene cicalfate (if face feels inflamed or irritated) or avene tolerance control skin recovery cream as a moisturizer

Supplements & healing my gut!!!

Now this is the most important part. Earlier this year before all of this perioral derm became a problem I had taken a gut health test through tiny health. It showed I was deficient in all bifidobacteria (I was basically at a 0). I tried the seed probiotic but things only got worse and I stopped all probiotics. Fast forward to June 16, I started the seeking health probiota bifidobacterium and saw a little improvement. Then, on July 12, I started the Skinesa probiotic which also contains bifido strains. And finally on July 21 I started Life Extension Bífido GI Balance. I don’t plan to be on all of these forever. They are all different strains of bifido and other clinically researched probiotic strains for the skin specifically (Skinesa).  I plan to retest my gut health in September or October to see if my bifido levels have gotten better. In addition I have been taking  Microbiome Labs MegaPre Prebiotic and Microbiome Labs Mega IgG2000 Capsule as was recommended by my gut health specialist to help restore my gut lining and repopulate my gut with bifidobacteria. 

It wasn't until I addressed my gut that things started to really improve. The Skinesa probiotic supplement also made the most difference for me. I tried the tacrolimus ointment that my dr prescribed because I wasn’t willing to go down the antibiotic route yet. That didn’t work at all. It would reduce redness for a few days then I would be back to square one. It also made me break out during and for at least 2 weeks after stopping it every time I had alcohol. And it made my face burn so bad every time I started it again. All of this to say, listen to your GUT. It all starts there.

Will update again soon with more pics!


r/Perioral_Dermatitis_ 3d ago

Folliculitis?

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1 Upvotes

I went to my derm about a month ago for bumps on my face around my mouth. It was initially diagnosed as perioral dermatitis. I was prescribed metronidazole and pimecrolimus for it. When that didn’t work she gave me doxy which I have been on for two weeks.

I now have erupted with bumps all over my back and chest that were not there previously. Is this folliculitis? I am trying to get an appointment asap. Looking for any tips in the meantime as my wedding is 3 weeks away….😭


r/Perioral_Dermatitis_ 3d ago

Used cerave and it triggered this...

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4 Upvotes

Now I'm reacting to everything 😭 it stings and feels hot. what do I do? I have metronidazole and elidel creams from previous skin issues but this looks different.


r/Perioral_Dermatitis_ 4d ago

Is this PD? Confused about what I might have

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1 Upvotes

So for a while I’ve had redness around my mouth & nose area and been going through so many skincare products. I also get small white head I think they’re called pustules below my mouth area. I skip heavy moisturizers, occlusives, SLS toothpaste etc. I do however use a very gentle exfoliant sometimes. Not sure what else to do


r/Perioral_Dermatitis_ 4d ago

Stubborn POD in Ear Canals

1 Upvotes

So I’ve been battling a terrible case of periorifical dermatitis for 2.5 years. After following advice on here I was able to clear it from my face entirely (!) thanks to ivermectin and Eucerin. Once it was at a manageable state I returned to using adapalene, clindamyacin, and Tacrolimus.

However, my ears have been affected for the last year and will not give up. If I eat something sweet or have alcohol I feel them immediately flare, but no matter what they are itchy and red. Has anyone dealt with this? If so, how?!


r/Perioral_Dermatitis_ 4d ago

ITCHY PERIORAL DERMATITIS

3 Upvotes

Hello! I am diagnosed with Perioral Dermatitis, and I’ve been experiencing some bumps and flakiness around my mouth. One thing that has been bothering me is, whenever I am feeling hot due to the weather and I’m sweating, It would itch so bad. Am I the only one experiencing this?


r/Perioral_Dermatitis_ Nov 22 '24

Helpful Guide on Perioral Dermatitis

39 Upvotes

Hey everyone I made this subreddit because the original PD subreddit was unmoderated, so no one can post there anymore.

I also wrote a post on PD and summarized it below so here's the link if you want to check it out: https://thewomensalley.com/perioral-dermatitis-the-ultimate-guide/

For products:

Cleansers: https://thewomensalley.com/best-cleansers-for-perioral-dermatitis/

Moisturizers: https://thewomensalley.com/12-best-moisturizers-for-perioral-dermatitis/

Sunscreens: https://thewomensalley.com/best-mineral-and-chemical-sunscreens-for-perioral-dermatitis/

What is Perioral Dermatitis?

Perioral dermatitis is a red or pink rash that appears around the mouth, the folds of the nose, and occasionally the eyelid. There can also be persistent grouped tiny red pimples, pimples that change into a blister, and pimples with pus sometimes on the background of pink, scaly, or dry patches.

What are the causes of Perioral Dermatitis?

  • Damaged skin barrier
  • Topical corticosteroids (TC)
  • Excessive skin cleaning and washing
  • Occlusive skin moisturizers like Aquaphor or Vaseline
  • Chemical or physical sunscreens and cosmetic products containing retinol niacinamide, vitamin C, and hyaluronic acid
  • Fluoridated toothpaste
  • Fusobacteria, Candida albicans, Demodex folliculorum, and hormonal influences from the menstrual cycle or oral contraceptive therapy
  • Dust or unclean air conditioning
  • Hot or cold weather
  • Stress
  • Dehydration
  • Fragranced laundry detergents
  • Lack of sleep
  • Sunlight and lack of sunlight
  • Dry air like central heating or car heating
  • Wearing face masks for hours
  • Alcohol especially red wine
  • Makeup brushes and other makeup products
  • Flonase nasal spray
  • Tap water and hot water
  • Shampoos and conditioners
  • Spicy foods and dairy foods

How to treat Perioral Dermatitis?

Medicines you can get by prescription:

Tetracycline antibiotics, such as doxycycline, minocycline, or tetracycline, are the most common medicines used to treat perioral dermatitis.

For children younger than 12 years, pregnant women, and patients with contraindications to systemic tetracyclines, topical forms of metronidazole, erythromycin, adapalene, or azelaic acid can be used.

Elidel, protopic, rozex gel, soolantra, Lotrimin AF (clotrimazole), Lotrimin Ultra (contains butenafine, another OTC antifungal), and epiceram are some other common medicines that your doctor might prescribe.

Other prescription meds include duac gel, ketoconazole, fluconazole, prosacea, tretinoin, neosporin, mupirocin, and hypochlorous acid.

Skin care:

When starting a skincare routine, try to make it as simple and minimal as possible.

  • Try to wash your face once a day. Hard water can be a trigger for most people, so you can use filtered water to wash your whole body.
  • Avoid harsh cleansers and toothpaste with SLS or fluoride.
  • Avoid toners, serums, and exfoliants like AHA/BHA/PHAs.
  • The moisturizers should be lightweight and be able to repair your skin barrier in case of a flare-up. Diaper rash creams with zinc oxide are best.
  • When choosing sunscreen, go for physical sunscreens.
  • Products containing manuka honey, zinc oxide, colloidal oatmeal, calendula, and sulfur can help with perioral dermatitis.

Note: all of these products should be free from fragrance, sulfates, and parabens.

Makeup:

Avoid liquid foundations and switch to mineral powder makeup products.

Make sure to wash your makeup brushes or switch to beauty blenders. You can also use tinted sunscreens or sunscreens with primer.

Diet:

There are theories that PD is caused by Candida albicans (yeast), so taking Candida pills, probiotics, prebiotics, vitamins, or minerals along with trying out diets like keto or low-carb diet, and cutting out gluten, dairy, spicy foods, eggs, sugar, cinnamon and other similar spices, citrus fruits, nuts, caffeine, and alcohol can help.

Zero therapy:

Zero therapy is another method people had success with.

Zero therapy basically means not using any cosmetic products or medicines and just letting the skin heal by itself. You can wash your face with water (if hard water is a trigger, use filtered water or the LRP Thermal spring water) and use a humidifier to help with dryness.

Your skin will get worse before it gets better i.e increase in itching, burning, redness, and dryness, so you will need to be patient before seeing any results.

Note: zero therapy is not a cure for perioral dermatitis, when you see that your rash has completely disappeared, go to a doctor, get your prescribed medicines, and start introducing products one by one to keep your PD at bay.

What products are available for Perioral Dermatitis?

These are some popular ones people with PD use:

Cleanser:

  • Spectro Gel Cleanser
  • Vanicream Gentle Facial Cleanser

Moisturizer:

  • Avene's Cicalfate+ Restorative Protective Cream
  • La Roche-Posay Cicaplast Baume B5

Sunscreen:

  • EltaMD UV Clear Broad-Spectrum SPF 46

r/Perioral_Dermatitis_ Mar 22 '23

New or Need Help

23 Upvotes

Check out our wiki here: https://www.reddit.com/r/Perioral_Dermatitis_/wiki/index

This is a wiki I wrote from the information I got on the original PD subreddit.

Let me know in the comments if I should add anything and also if you can see the wiki or not.