Perioralni dermatitis

Tako je, lahko zdraviš in do neke mere preprečuješ, redko kdaj pa se popolnoma odpravi.

Citiram iz teme glede preobčutljivosti na Rozamet:




Domen ali uporabljaš zaščito pred soncem? Morda je prišlo do take reakcije, ker si se drugi dan kaj izpostavljal soncu?

Domen, jaz bi vztrajala izkjučno z Rozametom (vsaj 3 tedne). Črtaj iz nege vse kar bi lahko dražilo kožo in poslabšalo p.d. (vse kar vsebuje alkohol, eterična olja, ful dišav itd.). Uporabljaj kremo z dobro UV zaščito. Umivaj se z res nežnim čistilnim sredstvom. V tej temi je ogromno primerov kaj lahko uporabljaš.

Jaz nikakor ne bi uporabljala nič kar diši po kortikosteroidh. Ti znajo p.d. močno poslabšat. Na začetku je bolje potem pa samo še slabše (dobri dermatologi jih pri p.d. skoraj ne predpišejo). To piše tudi v tej temi (kar nekaj strani nazaj).

Sicer imam trenutno tudi jaz precej slabo obdobje. P.d. je v razcvetu. Poleti je bilo kar precej časa ok, zdaj pa spet. Jaz sem se že kar sprijaznila, da so "dobra" in "slaba" obdobja.

Jaz na tvojem mestu ne bi tako hitro obupala nad Rozamedom. Poizkusi ga res malo namazati spet čez kakšen dan itd.

Še kaj drugega uporabljaš na tem delu kože (čistilni geli, kreme, toniki ipd.)?

Ne, potem ne, če govoriš celo o oteklini. Kaj pa če pokličeš nazaj k dermatologu?!

Ravnokar sem preletela nov vnos Paule Begoun na Beauty Bulletin. Torej, ena uporabnica ji je postavila vprašanje o perioralnem dermatitisu, ker ne najde ustreznih zdravil in nege zanj. Poleg dejanskih zdravil ji je predlagala, da si ta del obraza umiva s šamponom proti prhljaju, ki vsebuje zinc pyrithione (glej spodaj). Podatek sem preverila na internetu. Našla sem nekaj nasvetov za uporabo istega pri tej diagnozi.

Dear Paula,

I'm 34 and have had perioral dermatitis for about as long as I can remember. I read your answer to a previous question about it, but I still have a few more questions. I saw a dermatologist, and what they gave me isn't really helping. The Epiduo cream made my skin even more red and irritated, and Oracea, has done absolutely nothing in the 2+ months I've been taking it. I'm planning to go back to the dermatologist to try and get a treatment that works, but I'm wondering in the meantime is there a skin care regimen (cleanser, toner, sunscreen, etc.) and makeup that I can wear that won't make my skin worse? I've switched to a non-fluoride toothpaste and use a very mild cleanser that you recommend (Eucerin Gentle Hydrating Cleanser), but my skin is still very irritated. Also, it's hard to find a comprehensive list of what should be avoided, is there any way you could help with that?
Nicole, via email


Dear Nicole,

It sounds like you have a very stubborn case of this type of dermatitis. Ask your dermatologist about a short course of the oral antibiotic tetracycline (500 mg 2x per day) coupled with DesOwen, which is a topical steroid cream that tends to work well in combination with the tetracycline. This guideline is one that's a favorite of dermatologist Dr. Audrey Kunin, and is supported by research (Source: Dermatology, Volume 210, 2005, pages 301-307). Another option is to consider ordering DermaZinc cream from www.dermadoctor.com. This product contains the active ingredient zinc pyrithione, which is believed to play a role in the yeast that contributes to perioral dermatitis (Source: American Journal of Clinical Dermatology, March/April 2000, pages 75-80). You can also try washing this area with anti-dandruff shampoo whose active ingredient is zinc pyrithione, such as those from the Head & Shoulders brand. Other treatment options are available as well, and these plus the ones mentioned above should be discussed with your dermatologist.

Zanima me še kakšno mnenje. Pauli sicer zaupam, kar se tiče sestavin, saj je res avtoriteta na področju kozmetike. Ampak se ne upam kar podati v umivanje obraza s Head & Shoulders šamponom. Že zaradi tega, da ga ne maram niti za lase. Hvala za kakršenkoli komentar.

Hvala, flamingo.  Sem pogledala in očitno Avene nima izdelkov s točno to sestavino; tudi tisti Uriage gel nima te sestavine, ampak nekaj drugega Zinc ...

Da, H&S ima SLS. Dr. Kralj mi je sicer rekel, da to nima vpliva na dermatitis.

To so sestavine z Wiki:

Active ingredient: Pyrithione zinc 1%
Inactive ingredients: water, sodium laureth sulfate, sodium lauryl sulfate, cocamide MEA, zinc carbonate, glycol distearate, dimethicone, fragrance, cetyl alcohol, guar hydroxypropyltrimonium chloride, magnesium sulfate, sodium benzoate, magnesium carbonate hydroxide, ammonium laureth sulfate, benzyl alcohol, sodium chloride, methylchloroisothiazolinone, methylisothiazolinone, sodium xylenesulfonate, blue 1, red 4

Sama imam neke vrste dermatitis (točno kakšen je ne vem, ker se mi je zdelo brez veze hodit k zdravniku po neke močne žavbe, ki itak ne pomagajo), močno rdeče in stalno luščenje ob nosnih kotičkih in po čelu, tik ob lasišču. Pojavljalo se je nekako po obdobjih (14 dni katastrofa, 14 dni približno ok), s tem da nazadnje "dobrega" obdobja ni bilo več. Edina zadeva, ki me je res pomagala in (vsaj zaenkrat) odpravila dermatitis je Sophyto Skin Energising serum.
Tako da ga res priporočam, morda bo pomagalo tudi kateri od vas.