Dorothy FarrarPeriorale Dermatitis (Mundrose)
Although perioral dermatitis (mouth rhinitis) is harmless, it is often very stressful for those affected. Skin irritation, redness and a rash on the mouth, nose and eyes are often caused by the inflammatory skin disease “mouth rhinosis”. This chronic skin reaction is primarily a cosmetic problem for those affected. Paradoxically, excessive facial care is the cause.
What is perioral dermatitis (mouth rose)?
Perioral dermatitis (mouth rose) is a complex inflammatory process associated with a pathological change (especially) in the outer area of the mouth.
The typical facial rash (such as red blisters, pustules and nodules) occurs primarily on the outside of the mouth and is therefore also referred to as “mouth rose”.
In contrast to a whole range of skin diseases, perioral dermatitis (mouth rhinitis) belongs to the group of chronic, i.e. long-lasting and chronic-recurrent, i.e. repeatedly returning health symptoms.
Dry skin favors the development of this disease. One suspects the reason in the excessive care of the skin of the face. The mouth rose can drag on for several years.
causes
The specific triggers for perioral dermatitis (mouth rose) have not yet been definitively researched. What is striking, however, is that it mainly affects people who regularly undergo extensive facial cosmetics.
There is an assumption that perioral dermatitis is based on an inability of the skin cells to produce fatty substances. These are required by the skin in addition to the lipids in order to retain its suppleness and resistance. If the skin’s natural moisturizing properties are disturbed, it becomes dry and cracked. Dead skin cells then appear as scales.
Dry, scaly and cracked skin causes many sufferers to use moisturizing care products.
The excessive use of moisturizing care products often leads to the natural skin mechanisms becoming increasingly unbalanced. The consequence: the affected skin areas become inflamed and form the typical skin irritations of perioral dermatitis.
Other causes are assumed to be stress factors , skin fungi, inflammatory microorganisms and various toothpastes.
symptoms and course
The first skin-typical changes caused by perioral dermatitis can be felt in the form of small, nodular hardening. The term perioral already says that these irritations are pronounced around the mouth area. These nodules later develop into painful pustules and/or purulent blisters.
These skin irritations initially appear isolated and locally limited. Later these connect with each other and the inflammation is accompanied by extensive, scaly and itchy skin reddening . In addition to the mouth, the rash often affects the nose, eyes, cheeks, forehead and chin.
In the context of the chronic course, the disease is characterized by discomfort in the area around the lips and side effects such as diarrhea or constipation and/or headaches . These symptoms are often accompanied by physical discomfort (often during menstrual bleeding or the effects of the flu ).
Diagnose
Perioral dermatitis requires a precise clarification of the symptoms and the type of disease based on differential diagnostic investigations. This is necessary because mouth roses are very similar to other skin inflammations in terms of the course of the disease and their appearance.
For experienced dermatologists, it is often not a problem to diagnose the disease during the medical examination based on the typical symptoms (visual appearance) and the information provided by those affected (anamnesis). Perioral dermatitis (mouth rose) can be diagnosed on the basis of a diagnosis of exclusion of skin diseases and allergies that have almost the same course.
treatment and therapy
Perioral dermatitis (mouth rose) requires long-term treatment, since the symptoms usually recur stubbornly after treatment. The treatment of mouth roses focuses primarily on eliminating the disease-causing triggers.
Important here is the long-term renunciation (for the duration of the therapy) of cosmetic care products such as moisturizing creams, make-up, etc.. This measure is necessary to protect the skin from the skin-irritating substances in cosmetic products over a longer period of time and initially restore a healthy skin environment.
Moisturizing cosmetic products and care products may only be applied if the patient cannot bear the feeling of tightness around the mouth. In this context, so-called basic medical care products from a specialist make sense.
The medical therapy is supplemented by zinc-containing pastes that are applied thinly.
Facial cleansing is done with clear water only. Treatment with teas rich in tannins and special anti-inflammatory and pain- relieving drugs is recommended so that the inflammation can heal.
Classic medications against perioral dermatitis (mouth roses) are antibiotic substances and gels or creams to be applied locally.
In order to be able to alleviate severe impairments, the gels and ointments with antibiotics are applied directly to the skin irritations. In the case of severe forms, there is the variant of taking antibiotics by mouth. Unfortunately, like other skin conditions, perioral dermatitis is not treatable with corticosteroids.
prevention
Perioral dermatitis can be avoided if sensible and moderate skin care is carried out and no overly aggressive, perfumed substances and cosmetics that remove fat from the skin are used. In this context, the skin is said to be weaned when these substances are no longer used for as long as possible.
With regard to the therapy of existing skin diseases, it is important not to bring ointments containing corticosteroids into the mouth area. Only skin-friendly and gentle care products are suitable for skin care.
Hello and welcome to my Health Guide & Encyclopedia! My name is Dorothy Farrar, and I'm the founder and main author of this platform.
My passion for health and wellness started at a young age when I became interested in the connection between the food we eat and the way we feel. This fascination led me to study nutrition and dietetics in college, where I learned about the importance of a balanced diet and the impact of various nutrients on the body.