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Re: Perioral dermatitis

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TOWNLEY wrote:

Donna,

I

had lots of minor skin problems including eczema on my feet and dermatitis

around the corners of my mouth before developing rosacea, but I'm not familiar

with the term perioral dermatitis. (Interestingly enough, sulfa cream

was the only with that would get the rash around my mouth...) Does

perioral mean "around the mouth"? If so, I had it. Where did

you see reference to it being a precurser? Thanks.

Kerry-

Perioral is "around the mouth". I had the perioral dermatitis

before I had rosacea. It went all the way down to my chin, below the nose,

and onto my cheeks. My doctor prescribed cortisone for the dermatitis.

After it went away, that's when the rosacea showed up and I've had it ever

since.

I had read somewhere on the net that it may be a juvenile form

of rosacea. Of course, I am still looking for it and cannot find it anywhere.

I will let you know when I find it. The treatment for it is the same as

for rosacea - metrocream, sulfacet, tetracyclines, etc.

Donna G.

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I'm the third or fourth person on this group that was first diagnosed

with " perioral dermatitis. "

At that time, I remember the derm saying it might be my toothpaste.

However, to go back to the beginning of rosacea, my skin was perfect as a

teen.

At that time I diligently washed with a potent antimicrobial, Phisohex

(contained hexaclorophene) The medication still may be on the market in the

original formulation; I haven't checked lately.

As a youngster, I had eczema and I have big time allergies now. Been

taking Allegra and now my rosacea seems to be a nearly permanent condition.

It did improve majorely when I was taking Clindamycin (general antibiotic for

bad root canal)

I have not been real diligent with Metrocreme, I tend to rely on

foundation to " cover up " . I think I may have to go to Dermablend (supposed to

conceal everything)

Just my HO, I am not keen on long term antibiotics, taken orally. If

I had evidence that it would cure the rosacea after 2 or 3 months, I might

give it a try.

P.S., went to CVS and tried the Clotrimazole on one-half my face.

Will report

back.

DON'T DRINK TOO MUCH AND AVOID RED WINES.

HAPPY BIRD DAY AND I'M THANKFUL FOR BEING ABLE TO COOK A BIG MEAL

FOR EVERYONE.

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Donna G.

Interesting!...Let me know if you do come across that reference about perioral dermatitis.

Esther

I checked out the information about Sjorben's Syndrome, and I have every symptom except dry mouth. I hope that means it's a coincidence!

Kerrry

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Hi there,

Perioral dermatitis is a form of inflammatory rash common in the area around the mouth. It is a " cousin " of acne and seborrheic dermatitis just as rosacea is, since they all involve the oil glands. They may also share trigger factors such as genetics, hormonal, stress etc. I suspect that it is a coincidence for someone with eczema background to also have PD. It is not related to sjogren disease which is an autoimmune disease. You are right to say that treatments are somewhat similar such as tetracyclines, topicals containing sulfacetamide, sulfur etc. PD responds to cortisone cream which should be low potency type. Some types of cortisone cream (fluorinated -more potent ones) may aggravate PD. I am not aware as to whether or not metronidazoles help PD or not. I hope this helps you.

Sy M.D. Sy Skin Carehttp://www.lindasy.comVoice:Toll-Free 877-lindasy (546-3279)FAX-

To: rosacea-supportegroups <rosacea-supportegroups> Re: perioral dermatitis

Donna G.

Interesting!...Let me know if you do come across that reference about perioral dermatitis.

Esther

I checked out the information about Sjorben's Syndrome, and I have every symptom except dry mouth. I hope that means it's a coincidence!

Kerrry

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In a message dated 11/27/98 11:14:27 PM Eastern Standard Time,

sy@... writes:

<< It is not related to sjogren disease which is an autoimmune disease. >>

You're talking about PD, right? cea is listed as one of Sjogrne's side

effects in their support literature.

Esther

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In a message dated 11/27/98 11:14:27 PM Eastern Standard Time,

sy@... writes:

<< It is not related to sjogren disease which is an autoimmune disease. >>

,

Nice to have you on board. It'll help keep us all from getting too confused.

:) Just wanted to make sure you were referring to PD here and not rosacea. In

the Sjogren's literature rosacea is listed as one of the side effects. It's

important to know that if you have a very dry mouth, dry eyes and rosacea,

it's worth talking to your doctor.

Esther

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In a message dated 11/28/98 11:35:15 PM Eastern Standard Time,

ptownleysmith@... writes:

<< I am quite concerned about the possibility of having this sjogren's

syndrome and wondered if anyone has information about diagnosing it. >>

Kerry,

Talk to your doctor and play safe. He can tell you what tests you need. Good

luck.

Esther

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In a message dated 11/29/98 11:01:15 PM Eastern Standard Time,

sy@... writes:

<< Perhaps they are referring to the fact that similar type of eye symptoms

such as dryness, photophobia, sensation of foreign body or grittiness, burning

or redness of the eyes are seen in both SS and rosacea. In dermatologic

literature, I haven't seen mention of rosacea being part of SS. >>

,

I haven't seen it either in dermatologic (gee, I couldn't spell that if my

life depended on it :) ) literature but a close friend on mine is very

involved in SS's foundation. She's the person who told me that it states in

their literature that rosacea flushing can be one of any number of side

effects with SS. (She does have rosacea as a side effect) It sort of

doesn't matter, in a way. I posted that, originally, when someone with ocular

rosacea asked about also having a dry mouth. Whenever I hear someone with dry

eyes or ocular rosacea mention also having a dry mouth, I tell them the little

I know so they'll ask their doctor the next time they see him/her. I don't

think that many folks with rosacea have SS. I sure don't think it's worth

being tested for unless you have other symptoms - like a dry mouth. But if

you do ocular rosacea and are having other problems as well, having facial

rosacea, does not mean necessarily that the ocular rosacea diagnose is always

right. If you also have a dry mouth, you could be misdiagnosed, at least you

should discuss it with your doctor.

Esther

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,

I have dry eyes and tiny red dots all over my body which look like tiny pinpoints of blood vessels at the surface of the skin (which is something I saw in SS literature as a symptom). I drink a lot of water for my rosacea and asthma, and since I always have to breathe through my mouth, it is usually a little dry but I don't think it would qualify as medically dry mouth. How do you determine this? Also, could you explain what LE and polymyositis are in brief? I am familiar with scleroderma and my father has rheumatoid arthritis. I appreciate your time and assistance!

Kerry

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Kerry,

It's impossible to be a " blind dermatologist " ! Can't diagnose accurately without seeing the lesions. It's possible that your red dots could be " cherry angiomas " which are quite common and can be seen with more birthdays. On the other hand, they could also be telangiectases (broken blood vessels) which can be associated with connective tissue diseases. Lupus erythematosus and polymyositis are just examples of collagen diseases that can be associated with SS as is rheumatoid arthritis. Look them up on the net. I'm sure it's easy to do.

Sy M.D. Sy Skin Carehttp://www.lindasy.comVoice:Toll-Free 877-lindasy (546-3279)FAX-

Re: perioral dermatitis

,

I have dry eyes and tiny red dots all over my body which look like tiny pinpoints of blood vessels at the surface of the skin (which is something I saw in SS literature as a symptom). I drink a lot of water for my rosacea and asthma, and since I always have to breathe through my mouth, it is usually a little dry but I don't think it would qualify as medically dry mouth. How do you determine this? Also, could you explain what LE and polymyositis are in brief? I am familiar with scleroderma and my father has rheumatoid arthritis. I appreciate your time and assistance!

Kerry

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  • 2 months later...

Hi all,

I've been interested in the posts about perioral dermatitis. I have never

noticed that toothpastes aggravate mine, but I have noticed that eating too

much sugar (of any variety) causes mine to flare up. I don't know if anyone

else out there is a sugar junky, but cutting back really helps my pd and

rosacea as well.

Kerry

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Kerry, If I eat lots of surgary goodies late at night, I get a bit of

flushing and bumps the next morning. My cheeks swell up slightly as

well. I eat sugar in moderation for sure. But I miss those 11pm hot

fudge sundaes! Boo Hoo :-( That doesn't seem to effect the pd, though.

Matija

---PAUL TOWNLEY-SMITH wrote:

>

> Hi all,

> I've been interested in the posts about perioral dermatitis. I have

never

> noticed that toothpastes aggravate mine, but I have noticed that

eating too

> much sugar (of any variety) causes mine to flare up. I don't know

if anyone

> else out there is a sugar junky, but cutting back really helps my pd

and

> rosacea as well.

> Kerry

>

>

>

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