Periorifical Dermatitis
What is it and how do I get rid of it!
Periorifical dermatitis is a common skin condition that is distressing to patients as it can take some time to treat and it often recurs.
It is commonly misdiagnosed as eczema or contact dermatitis and treated with steroids. While this can make the rash better temporarily, it will then come back with vengeance and be more difficult to treat effectively as time goes on.
What causes periorifical dermatitis?
Doctors believe it is caused by a breakdown of the integrity of the skins barrier function. This can happen by stripping the skin with too many products and harsh cleansing, though diet, the environment and gut bacterial imbalances also play a part. Also, misdiagnosis and treatment with steroids, or the use of inhaled steroids to treat other conditions (like asthma and allergic rhinitis) can make it worse.
How is it treated?
Like many skin conditions, a multifactorial approach is required
1.‘Zero therapy’
As difficult as it may sound, the most effective treatment is to avoid all skin care products with active ingredients. In particular AHA/BHA. This also includes make up. Wash with a gentle cleanser and apply a light, oil free moisturising SPF during the day.
2. Pro biotics - for the gut and the skin
There is increasing evidence that good gut health and good skin are not just a coincidence. Taking a probiotic and making sure your diet is filled with whole foods (ie, avoid the food in the centre of the supermarket aisles!) will help. There are also prebiotic products that you can apply on the skin. We use Dermitoic by Synergie Skin.
3. LED light therapy.
LED light in the yellow (832) wavelength (provided by a Healite) can reduce inflammation and help rebuild the barrier function of the skin by increasing collagen production. It can also reduce the activity of the bacteria under the skin.
4. Avoidance of steroids. Steroids may have to be weaned under medical supervision if there has been significant use over time. Gently cleaning the face after using your asthma preventer will also reduce the time the steroid is in contact with your skin.
5. Prescription medications
Sometimes the break down in the skin barrier results in over production of bacteria under the skin. In this circumstance, oral antibiotics (Tetracyclines) may be required to help get control of the dermatitis.
At CWM and Skin we love helping people treat skin conditions. Our doctor and nurse team have many years of combined experience and as a medical clinic, we only provide evidence based treatments. To find out more, book a consultation online, call or email us. We are here to help!