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Dr. Chip
Dr. Chip, General pratice
Category: Dermatology
Satisfied Customers: 36123
Experience:  Years of outpatient experience treating dermatological problems
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I have diagnosed peri oral dermatitis- it first appeared after

Customer Question

I have diagnosed peri oral dermatitis- it first appeared after using a clay mud mask- which was confirmed in April after two unhelpful doctors attempted to tell me it was a bacterial infection, then fungal! It comes up as redness and itchy areas and then I get tiny vesicles that go away once popped, but hurt quite a lot in the mean time.
Finally someone less arrogant listened to me (I am a vet so I know what I'm talking about when I say it's not bacterial or fungal! Jeez!) and gave me Elidel cream to which it was responding really well. But two months ago it started flaring up when I moved to England and changed my face moisturiser from body shop vitamin e daily face with spf to their other ranges- going back made no difference and now the Elidel is barely containing it. I'm taking 50mg of doxycycline SID (cannot take minocycline as gave me migraines in April). I'm using hydromol moisturiser as not able to find anything else in the pharmacies here in England. Any suggestions? Oral prednisolone helps when taking it but results in seriously bad flare when I stop treatment. I'm considering getting a referral to a dermatologist but I can't go for a good month or so as I am a locum, so if I can get on top of it before then that would be good.
Submitted: 2 years ago.
Category: Dermatology
Expert:  Shantal-Mod replied 2 years ago.
I'm Shantal and I'm a moderator for this topic.
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Expert:  Dr. Chip replied 2 years ago.
Hi. Sorry to hear about this
Tacrolimus cream would be my suggestion as an alternative for this. Oral tretinoin would be the other. You'd have to have your doctor prescribe one of those
Let me know if you need any more information please
Customer: replied 2 years ago.
For reasons unknown to me I seem to have gotten results using Lucas pawpaw ointment. I know it's mostly petroleum jelly- but my skin is the best it's been in months. Go figure.
Expert:  Dr. Chip replied 2 years ago.
Emollients are fine but they aren't medication--I'd still suggest you try my suggestions
Customer: replied 2 years ago.
I'm already using pimecrolius (elidel) which was not achieving control (see my original post). How is tracrolimus any different? If there is a difference i will try it.I only put the pawpaw on as the skin was dry and flaky, but frankly since I've done that I've had no more spots and the skin is virtually normal again so I'm just going to keep doing it for now!
Expert:  Dr. Chip replied 2 years ago.
Tacrolimus is similar to pimerolimus but it is stronger.
But for now it sounds like you don't need anything more
Customer: replied 2 years ago.
Thanks for the suggestion. If it flares up again I shall request the stronger medication .
Expert:  Dr. Chip replied 2 years ago.
My pleasure but let me know how it goes and please remember to rate my service to you