Rash around the mouth

definition

Women in particular are affected by this condition: the skin around the mouth area suddenly turns red and burns, is uncomfortable and tense, and small pimples and blisters form. Within a few days to weeks, the rash can sometimes spread to the chin, and the skin becomes dry and flaky. No moisturizing cream or lotion can remedy the situation, rather it makes the whole thing worse. Those affected are not alone with these complaints, but it is a serious clinical picture: perioral dermatitis, also popularly referred to as rose of the mouth or stewardess disease.

causes

Science has not yet succeeded in identifying the specific triggers for perioral dermatitis. However, it is strikingly often that people are affected regular cosmetics use in the face area. The popular theory assumes that perioral dermatitis is caused by the skin cells in the mouth area losing their ability to retain fat Sebum secretion to produce. Included in this secretion are Lipidsthat the skin itself needs to remain resilient and supple.

If these lipids are missing, the skin becomes increasingly dry and cracked and begins to flake. This causes many sufferers to also apply moisturizing care products to the face, which only irritates the skin and the cell balance messes up. The redness around the mouth worsens, the cells become inflamed and the familiar little red ones form around the scales Vesicles. A vicious circle of too much care and irritation of the skin. Other possible causes discussed are also physical or emotional stress, Fungal skin infections, certain toothpastes or special microorganisms that can cause inflammation. The theory of excessive grooming however, it is the most common.

diagnosis

In order to diagnose perioral dermatitis, it must have occurred Symptoms precisely described and examined, since the appearance of dermatitis is not dissimilar to that of various other skin diseases and here Likelihood of confusion consists. Also the development over time and the Course of symptoms are important here. A small one is also characteristic narrow strip of skin just around the lips, unaffected by the rash. However, experienced general practitioners are very familiar with this clinical picture, so that misdiagnoses are rare. In any case, one should also be excluded allergic reaction or other local irritation in the mouth area before diagnosis is made.

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Concomitant symptoms

Many patients notice the first change in the skin small nodules and pimples in the mouth area. Over time, these develop into pustules and blisters and can sometimes be filled with pus and extremely painful. The pustules, which are often isolated at first, become more and more connecting themself together. They are usually accompanied by a large, flaky one Rash with redness and strong itching. The extent and severity of dermatitis vary from patient to patient, and sometimes the rash extends beyond the mouth area Eyes, cheeks, forehead and chin affect. The permanent irritation of the skin leads to discomfort and can also cause other side effects, such as headaches, diarrhea / constipation and general fatigue.

Rash around the mouth with red spots

These are the red dots, which tend to appear in the mouth area Leading symptom of perioral dermatitis. They are accompanied by dry, tight skin, it is red and itches and burns unpleasant. In addition to the perioral dermatitis, there is also another bacterial infection Adding to the skin, the red pustules can also be filled with pus. The red dots in perioral dermatitis should not be confused with the classic blackheads that occur in acne.

therapy

Since perioral dermatitis is in most cases caused by too much skin care, the first step in treatment is to leave out all facial care products. In order to prevent the rash from breaking out again, avoiding creams etc. should be permanent if possible. If those affected suffer from dry and tense skin in the mouth area, a moisturizing ointment can be applied after consulting a dermatologist. Here you should use medical products from the pharmacy. This treatment can be supplemented with zinc-containing creams that fight itching. The daily cleaning of the face should only be done with clear water. In addition, you can use boiled tea, preferably tannin-containing varieties such as black or green tea, which reduce inflammation. Various antibiotic gels and creams are available as classic drugs for the treatment of perioral dermatitis. These are applied locally. In very severe cases, the antibiotics can be administered in tablet form, but this is associated with more undesirable side effects. The classic ointments containing cortisone, which are quite effective for a large number of other skin diseases, have no influence on perioral dermatitis or only worsen the complexion.

Read more on the subject at: Proper skin care

Perioral dermatitis can suddenly commit or yourself creeping develop over a long period of time. Since most sufferers first try to get the rash under control with ointments and creams, and this only makes the disease worse, it often comes to one Vicious circle too much care, dry, over-irritated skin and even more ointments. If those affected do not seek a dermatologist, this process can partially change for years extend. If the dermatitis is treated medically, it also takes a few weeks to months for the cells to recover and the complexion to normalize. The most important measure of therapy, namely that omitting of all care products on the face should a life long to be kept.

Rash around the mouth and eyes

Typically, perioral dermatitis (as the name suggests: perioral means "around the mouth") occurs in the mouth area. However, over time, the red pustules and blisters can grow in size and join together and affect larger parts of the face, in some cases even the eye area up to the forehead and hairline. However, it is in such cases still about perioral dermatitisalthough it is no longer restricted to the mouth area. The symptoms are the same in the eye area as in the mouth area. The skin becomes dry and flaky, vesicles and pustules form and the affected area is red, inflamed and affected by unpleasant itching.

Rash around the mouth in children

The typical group of people affected by perioral dermatitis are young women between 25-40 years. In principle, however, anyone can develop a corresponding rash, including small children and adolescents. In childhood, however, the distribution is reversed, here are primarily those Boys and not affect the girls. The causes are the same as in adults: excessive care of the skin leads to dehydration, redness and irritation. However, perioral dermatitis often develops after a long period of time Use of inhalation sprays containing cortisoneas used in asthmatics. It is also noticeable that the rash often occurs in children larger parts of the face which can initially make the diagnosis of perioral dermatitis difficult. Therapy is also a bit more demanding for children. Since the commonly used antibiotics have a negative effect on the development of tooth and bone substance, not all groups of substances may be used. Usually the doctor reaches for one Erythromycin-containing preparation. However, the children often react with nausea, vomiting, or an allergic reaction to these drugs. In such cases, therapy must be reconsidered. As with adults, however, the most important part of treatment is permanent Stop using any cosmetics in the face area.

Rash around the mouth during pregnancy

Interestingly, pregnancy can reduce the course of perioral dermatitis influence positively. However, it can also be the exact one opposite occur, namely worsening of symptoms. The exact processes in the body could not yet be clarified here, but it must be through the hormonal fluctuations be evoked. The treatment of perioral dermatitis during pregnancy is somewhat problematic, as antibiotics can have a damaging effect on the child's development. Therefore, you can usually only use a small group of preparations Erythromycin-containing, To fall back on. These are well tolerated by both the expectant mother and the child and can continue to be administered during breastfeeding.