Help me with my **possible** perioral dermatitis
Posted , 98 users are following.
Hi Everyone.
I am at my wits end with my skin and wondered if anyone could suggest anything.
About eight months ago I went on a course of antibiotics for a wound that wouldn't heal. It did the trick, but a couple of days after I finished the course I began to get huge flakes of skin coming off each side of my nose and just under it. There was no real redness at first, just extremely flaky skin, which Ive never had before.
This then turned red on one side and was quite sore. This cleared up, but switched to the OTHER side of my nose and this is what I have had ever since.
It has come and gone in various degrees of severity, but generally, it is red and mildly flaky/dry with lots of little bumps which look like acne but never come to a head. Having said that, I have been getting cystic type acne right in the fold of the nose recently.
TREATMENT: I initially googled the problem and concluded it was perorial dermatitis. I didn't want steroids as I know that makes it worse, so I went to the doctor (who didn't know what it was and had to GOOGLE perioral derm!?)who gave me DUAC cream. That helped a bit but it just came back.
I have since been to numerous doctors who have given me everything which I have eventually tried.
I was advised to use an anti fungal cream,so used canesten (without steroid in it). This gave me some kind of allergic reaction and i got eczema all around the area where I used it. To treat this separate condition -ergh) i was prescribed a steroid cream, daktacort, which made the eczema go away but then the PD came back worse and now I'm back to square one.
I'm almost positive its a classic case of PD, and since I tried everything the only option is antibiotics. However, I am EXTREMELY reluctant to take any seeing as it would seem that anti biotics gave me it in the first place! It all started as soon as I finished a course of them, having never had it in my life before.
I have no idea what to do, and would appreciate ANY advice. Apologies for the huge post!
Note: I should also add that I have tried lots of home remedies like coconut oil, lemon juice, apple cider vinegar which have helped mildly but not gotten rid of it. In the past three months I've also cut out wheat, sugar, dairy and yeast (considering it may be candida overgrowth). I even switched to fluoride free toothpaste. Nothing has gotten rid of it! (except the steroid/anti-fungal, and only temporarily!)
6 likes, 441 replies
tash12
Posted
Fiona, Spatone is available OTC. It's not cheap, especially if you're taking 2 a day like me. But I got great energy results really fast and it doesn't give me any of the horrible iron tablet side effects.
Misty, I tried the violet extract too (herb pharm, via Amazon). I didn't get any positive results from it, but I only tried it once (was at that desperate stage of haphazardly testing everything). It didn't make it any worse though. Let us know how it goes!
Also.. sad to announce, but after a seriously blissful week of being PD free, the dry patches above and below my lip are back with bit of redness. As you can imagine, I'm scrambling to work out what I did (arrrrrggghhh). It's not quite PD yet, but it's threatening to be.
I also have a blocked nose too, so there's that allergy component again. Harry will not approve, but I'll be taking allersoothe antihistamines tonight to try and get some relief.
I'm still on probiotics, digestive enzymes, iron, omega-3 & blah blah. Also still wheat free and only dairy is yoghurt. I know I have very mild allergies to nuts, wheat and milk from my blood tests, so I may need to cut even yoghurt and nuts out now.. I just hate the idea of giving up the last remnants of pleasure from my diet.
Am applying a little elidel and Cicalfate again topically, hopefully they haven't lost their potency.. Fingers crossed I can prevent this beast from rearing it's ugly head again!
lisa66730 tash12
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I have been catching up with all posts and reading with interest.
I cured my PD with antibiotics/Elidel. I also stopped all steroid creams and Black Cohosh ,took antihistamine,only used superior products on my face and took (and still do probiotics) and my face is clear now no redness at all.
My face was dreadful- truly dreadful,scaly,flaky,pus filled oozing mess. It was more PD then face My family would say “Your poor face”!
I was told repeatedly by GP’s that it was cold sores and put on antiviral tablets. I self diagnosed myself and finally got a GP to listen.
As said, there are so many triggers. My skin scrape identified no bacteria (unbelievably) but antibiotics worked. I think Promilla mentioned antibiotics with other regimes.
I also threw everything and anything at my face in an effort to be rid of it.
I think steroid cream/allergy/hormones/fungi and a supplement* all had their part to play in mine.
I am 47 and started peri menopause. I always had horrific periods and I was given a mirena coil to help combat this as it delivers regular progesterone .
This was to help with heavy periods but was horrible and uncomfortable and I had it removed. Then I started HRT which made me bloated and I tried many types but ultimately gave them up.
I then started Black Cohosh* which seemed to sort me out hormone wise but then the PD started and it came with increasing awfulness every month almost to the day.This went on for about 4-5 months.
I am now PD free but need something to regulate my hormones and I may well try red clover as Black Cohosh is definitely linked to my PD.Maybe I was just allergic
As Fiona said Harry’s advice is good and for those having time to go in depth it is probably ideal. It still doesn’t address hormones though and this is a strong link I feel.
Kind Regards
Lisa
misty99646
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fiona77498
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I'm not quit understanding if you continued to used the sunscreen even after your PD subsided. I am just wondering if a person can become immune to the zinc(?!)
Hey Tash, Thanks for the info re:Spatone. I have been feeling incredible lethargic lately even taking the ferrous gluconate. And....I really hope that you get it under control again....horror of horrors!
misty99646
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fiona77498 emilyvb
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Happy Easter All
fiona77498 emilyvb
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Promila emilyvb
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M stury cut short. I am 19 now. Have been struggeling with PD for around 3 year,of course not knowing the real name. My perioral dermatitis is now at its worse. I saw people posting their pictures or recording movies when they have flare up, but somehow my face is just so much worse. Apart from standard bumps and ichiness around nose and on the chin, my whole face is just burning red, probably because of inflammation. I have been to several doctors during these past years, non of whome diagnosed it as PD. Only my last doctor told me what this is and gave me Zineryt (Erythromycin). After researching I decided not to take it, since I have very weak organism and antibiotics always make me sick.
I have tried everything, including Zinc cream (it made it worse when I put it over night so I decided not to take the risk), ACV (helps a bit), tumeric, olive oil, coconut oil, only water, various creams, calendula stuff, among so many other things. Now I am on the stage when I try not to put anything. Nothing helps.
I have had very healthy diet for quite some time, checked levels of all major minerals Zinck, Copper, Iron, etc. and they seem to be ok.
I am deeply depressed about the situation. Of course I am not leaving my flat (at some point I will have to start attending lectires once again though), because I am perfectly aware how people react. They just don't want to look at me, and feel akward, not knowing whether they should ask what is wrong with me or just try to avoid looking at my face.
I am just so tired, and have no other idea what can I do. Completely clueless. It seems that it will seriosly stay there forever, and I don't know what I will do then. I honestly don't know.
Promila emilyvb
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fiona77498 Promila
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I went through your list of possible remedies and I tried all except the calendula. I too pay close attention to the mineral aspect and zinc was my answer but if you are thinking of delving deeper into working from the inside out then I think Harry is your man. If you haven't read through all of the posts yet; Harry's approach is to attack from that angle. I have to admit that it's far more radical than I am willing to apply but I do agree with his theories and I would try anything if I didin't already have luck with zinc. What type of zinc application did you try?
One thing that I have noticed that makes a huge difference to me and my general well-being (and PD?) is to curtail my gluten intake. I threw my usual diet out the window this Easter weekend and I awoke this morning with a red patch and two blisters under my right eye, next to my nose.
Even though that I feel that I contracted PD from a high dose of intravenous antibiotics, I would not rule it out as a treatment simply because I have read here of others (Lisa being one) who have had success with it. And isn't it the point of this forum to try recommendations from people who have the same ailment?
I remember this past Christmas as I was speaking with a friend that dropped by...I could tell that he wasn't taking in anything that we were discussing....he was just focused on my mouth and chin area and I was dying of embarrassment. I just felt like saying, "For God Sake!! I don't know what it is either!!" It is sooooo encompassing. I truly feel for you because as I said, this should be such a happy time for you. And how does a student keep on track with their diet when everything is so fast-paced and stressful? When I left home, I survived off of tea, coffee, diet coke, frozen corn and rice and cereal.
I wish you all the best Promila. Keep posting...there has to be a solution for you!
Promila fiona77498
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I went through the whole forum, but I have the same problem like everyone else. I am really impatient and would like to try everything, and if something does not work immidiately I switch to other thing. Which I definitely shouldn't be doing. The thing is that we all would like to have effects just now.
Yesterday, while waiting for violet extract (which I read helped many people), I put coconut oil on my face... and low and behold the redeness started to disappear. Of course I got very excited, but I definitely shouldn't have, because the same initial effect was visible thanks to ACV. And later it stopped working, and I got even more depressed.
So for now, I am on coconut oil, and ACV/water, and waiting for violet extract.
I decided to quit gluten around 2 weeks ago. Still no effect. The thing is that, despite of being a student, I really try to eat really well. Huge amount of vegetables, eggs, fish, little meat. I have not taken antibiotics for 6 or 7 years. So, in my case, it is hard to explain on the basis of gut flora/candida/etc. I would even say that since I started eat even more vegetables, PD got worse and worse. Maybe it's some kind of intolerance, but I honestly don't have time and energy (however bad it sounds) to look for this needle in a haystack
Tomorrow I will do blood test for thyroid hormones, and maybe something for inflammation inside the body.
The worse thing is that our population is so focused on appearance, and everyone has to be ideal, that this sort of condition is really depressing and kind of excludes the sufferers from the society.
I see that all of us, we are aware that there are much more serious conditions out there, that PD is not life threatening, but somehow it makes as feel so miserable and depressed. I wish the society was more understaind of other people problems.
I will keep the forum updated, as I am searching for my "cure".
Btw. I'm sorry for any typos, as I'm usually in the rush. Hope you don't mind.
JoJoOnTheGoGo Promila
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emilyvb Promila
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In the mean time, definitely try zinc based products. With regard to your comment on topical antibiotics, that is something I tried and that I think worked for me. I was reluctant to take oral antibiotics, and I'm sure many would suggest that topicals can still effect the flora of the skin (or something!), but from what I have read, there didn't seem to be a problem for anyone who has used topical antibiotics for PD as long as they don't contain steroids. Combine that with an approach from the inside (as Harry suggests) and you are doing everything you can, safely, to ensure it is treated. Anything else should be at the hands of a dermatologist who can diagnose correctly.
I'm glad you have read through everyone's posts here. I know they are quite long and there are many of them, but its absolutely worth it if you're living with PD as all of us have been. Other than the practical advice, it has been a great source of comfort to be involved in a friendly community who are all going through the same thing.
Do keep us updated! Good luck. You can sort this!
Emily
Promila emilyvb
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Thanks for the answer,
I think I will go once again to my GP, and later to a dermatologist. I have bought Zineryt but haven't tried it yet. Is it the one which helped you clear PD? If so, I may actually try it. And yup I'm from UK.
I have tried Zinc paste but it didn't really do any good, and I think the bumps got kind of worse, so I stopped it.
No I'm using coconut oil, and it helped with redness, but did nothing to ichiness and rash.
I just got one other product which is like a combo.
It's extract from Calendula, Violet, white willow, Liquorice together with lecithin, Zinc and Copper substances. It looks promising. Unfortunately it has also yeast which really scares me out, but with such a combination of compunds, I truly hope it will somehow help. I plan on using it together with coconut oil.
Fingers crossed.
I have read all the posts, and I seem to remeber that someone mentioned Nixoderm. Was it someone currently involved in the discussion (question to everyone) casue I would also like to hear your opinion, if you have tried it.
Thanks once again for all the advice!
Have a nice evening!
Suz2004 emilyvb
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I like many had perfect facial skin, well a little oily but nothing that I couldn't manage. Always had bad eczema over my body but controlled it by creams and double base etc. 2 years ago I started to get very very dry skin on my face, like dry skin that no moisturizer would calm. I also got eczema on my face so I started to use mild steroid creams and I think this is where my PD has stemmed from. I had a red area around my lip, coupled with groups of bumps, or spots under the skin that never came to a head. I also got burning cheeks sometimes and itchy forehead and the dry skin was just getting worse. I started to read up on the candida and thought I may have an over production of yeast. My face got bad and I am getting married next year so I eventually got my doctor to refer me to a dermatologist. In the meantime, desperate to help myself, I started the candida diet, which helped for weight loss but I am not sure it did anything for my skin. I was googling like mad and self-diagnosed myself with PD. I saw the dermatologist and he too said he thought it was PD and started me on a course of lymecycline for 6 months. I am trying to use noting but water on my face as well. Within a week a huge angry rash appeared on my arms, like eczema but itchy and painful as hell. I wondered if anyone else had experienced this? A couple of olive oil baths later and it has calmed, but I cannot help wonder if being on these tablets is going to help me in the long run? I have also ordered some sulfur soap as I have heard this is good for PD. Does anyone else have any tips?
emilyvb Suz2004
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You've come to the right place!
How long have you been taking lymecycline for? As I'm sure you've read on here, there are mixed reviews with oral antibiotics and PD. Be sure to take probiotics whilst you take the antibiotics, to keep the candida under control. Also try apple cider vinegar orally. All of these suggestions are summarised by Harry in many posts above, who stands by tackling the problem from within; the 'problem' being entirely candida and gut flora related. This is one opinion, but something that many have tried and stand by so is worth a try!
Although I don't have PD anymore (Just redness that it left behind!) I have noticed that my dry skin elsewhere on my face has reduced dramatically since I havent been using face washes or anything. I just used make up remover and wash it off with water and a muslin cloth. This seems to have stopped my face from overdrying, so by just using water I'd say you're definitely making a step into the right direction. Have you ever tried using oils? I know many people use the 'Oil Cleansing Method' on their face, which helps many dramatically with dry skin. But it might be worth using some on your body. I use almond oil on dry patches and this works wonderfully for me. There are many oils to choose from, but Amazon seems a good place for reviews on how each of them work. They are relatively cheap too, so definitely explore that avenue for relief on your body.
The rash on your arms seems like something outside of PD, but then I'm no professional. Which country are you based in? Have you been to the GP with regard to the rash on your arms? As I mentioned to a poster before, if you are having problems with dry skin on many areas of your body, its definitely worth a GP referring you to a dermatologist or at least taking samples to see if it is some kind of fungal problem. Many posters on this forum have suggested that eczema is affected a lot by diet. Research that for some interesrting insights..definitely worth considering.
Sulfur soap helped me alot with me skin problems! Not necessary eczema but mild acne, My housemate also has eczema on his arms and his GP recommended sulfur soap- I think its been helping alot! It can be quite drying though, so bare that in mind. Maybe thats just because i was using it on my face though.
Keep posting here and we will do our best to help and support you! You can get rid of this. It might take a while, but its not forever. I wish you the best of luck! In the meantime have a read through the posts on this forum which talk about people's experiences with zinc, antibiotics, candida and apple cider vinegar, amongst other things!
Take care,
Emily
fiona77498 emilyvb
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I don't want to divert attention away from Promila and Suz right now but Jojo's mention of B12 shot made me remember that I have always been curious to hear opinions from people that have actually had it. Did you really notice an increase in energy and better brain function? I'm glad that you brought that up because I have to book a medical exam (ugh) and have been jotting things down as I think about them to ask my doctor. Anyone's comments would be appreciated.
Back to Suz....Welcome! I really hope that you find something here to help....it's nice to be able to hear from people with the same issue. Emily's post was very informative so there's a good start. I started the oil cleansing method as one of my first attempts at ridding myself of PD. It didn't do a thing to help in that respect but I like the way my skin feels when I do it so at least I learned something new. And now because of Emily's post, I am going to check out Amazon and their variety of oils.
Anyway, Good luck to you Suze; keep posting. To Promila....Maybe book an appointment with a derm? Grab them by the shirt collar and tell them that you're not leaving until you get an answer!!
fiona77498 emilyvb
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Emily....Do you never have a small reoccurrence of PD? I know that you mentioned an existing redness as I too have but never a small breakout? I still get the odd redness and blisters as I did a couple of days ago and am kind of panicky at the thought of zinc losing it's effect as it seems that it did with Misty. Ooooo...I hope not!
Suz2004 emilyvb
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I live in London and I have been on the Lymecycline for a month, and I have to say it has taken the spots (lumps) down considerably. I still have a red patch, but I guess that will go in time. I did used to use olive oil to cleanse my face, but found that was giving me slight spots and the derm told me it wasn’t a good idea. I personally disagree and I find a bath full of oil helps my skin from drying out. I also started to use coconut oil as well on my face – didn’t help too much BUT in the last month the dryness has eased a lot. I am only using a “simple” face wipe and water on my face now.
I managed to get an appointment with a consultant for next Saturday as I am really not happy with the service I have received. I spoke about the candida diet I was following when at the derm but he didn’t seem to take note but stuck me on lymecycline for 6 months!! 6 months!!! I’d almost certainly have no good bacteria left and have to start the whole process again surely?! So I am going suggest that I come off the tablets. I am trying to follow the candida diet which is very restrictive, but hey if this helps - but I find with my eczema it suggests to eat eggs etc but I am not sure if these make my eczema worse! I have ordered some sulfur soap to see if this helps, and also some cider vinegar, thank you for this. When I go to the consultant I am going to mention the rash. It looks like eczema but it’s weird it occurred when I started the antibiotics. It’s nearly gone now as I treated with olive oil and double base etc. I will give almond oil a go as well! I guess I am looking for a lot of tips of trying to follow the candida diet to help with the PD yet also trying to adapt the diet so it is eczema friendly.
Thank you for your kind words. It such a relief to find a group like this – unless you have been or going through this you have no idea how isolated you feel.
Suz2004 emilyvb
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sharon24908 fiona77498
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emilyvb fiona77498
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emilyvb fiona77498
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fiona77498 emilyvb
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Just quickly....Welcome Sharon. I am in Canada as well and yes, I saw Destin at the pharmacy yesterday when I was buying my creams.
Take Care All
sharon24908 fiona77498
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Promila fiona77498
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Yup. I'm going to ask my GP to direct me to a dermatologist. But I honestly doubt that she will do this.
About B12. I can honestly tell you that vitamins B make a tremendous difference, if you are defficient with them. Otherwise, it probably won't make a difference. For me, it completely cured my horrible insomnia (I shouldn't tell it out loud ... cause it was the worst thig ever) and really improved my mood. So I would advise you to check it.
Promila emilyvb
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Hopefully it won't come back!
fiona77498 Promila
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Wow. Just the thought of your doctor not allowing you a referral to a dermatologist!! I am sick and tired of being at the mercy of doctors....I realize that we are not medically trained but do me a favour......we know our own bodies to an extent.
Thanks for the B12 advise....I am anemic and have always wondered about how it could benefit me. The insomnia comment (don't want to jinx you) struck a cord too because I have suffered through quite a few bouts of it (sometimes I just can't shut my brain off before bed).
Interesting...Norwex facecloth. My friend was just telling me about something the same for dusting. Realize not the same! I'm baffled as to how it would work. Going to look into it.
Thanks
Harry33122 Promila
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If you need creams use only Pure Organic Coconut oil once your symtoms clear up.. Your Gut Flora is where all your problems arise from. Address this with a longterm outlook and you will never have this issue again.
it takes time but you need to build up your gut Flora with Good Fats and Good Bacteria.
Kind regards
Harry
Harry33122 Promila
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fiona77498 Harry33122
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I was wondering about you. Thought that you may have given up on us!
I have such a sneaking suspicion that all of my maladies would go away if I just paid closer attention to your posts. For some reason, I am being bull-headed about it.
Riho's posts (sorry Riho, I'm just not deciphering) about inflammation made me want to ask if you have an opinion on gelatin aiding with inflammation.
I am an upholsterer and had a shop for years that I gave up due to disk injuries in my neck. Very sad about this but anyway, when the pain flares up it is excrutiating and will last for a few months at a time. 3 MRI's say that the option is to operate which for one reason or another, I don't want to consider yet.
Back to the gelatin...I started taking it around November of last year (while I was searching for a cure for PD) because I read that it would help with inflammation and also collagen production. I ran out of it two weeks ago and since then I have developed that same old twinge in my neck. Also, I have noticed that my facial skin isn't as firm as it was while I was taking it.
This is way off topic and I apologise to all for veering off of the PD discussion but I am curious to see if Harry or anyone has any thoughts on this. I will stress though that it really does seem to firm up my skin when I take it twice a day.
Thanks. Good to hear from you Harry,
Fiona
Promila Harry33122
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