Joey King, a rising star in American entertainment, recently disclosed her battle with perioral dermatitis, a skin condition causing small red bumps around the eyes, nose, or mouth, persisting for seven months. The 24-year-old actress, known for her role in "The Kissing Booth," shared her struggle on social media, demonstrating her attempt to manage it by dermaplaning. She candidly discussed discontinuing prescription treatments in favor of alternative skincare, unsure of its effectiveness. Like Hailey Bieber, who also faced this condition, King expressed frustration and uncertainty about managing its recurrence, highlighting the challenges of treating perioral dermatitis effectively.
Causes
Perioral dermatitis can be triggered by several factors, says Noida-based dermatologist Mansi Awasthi.
Topical steroid use: Prolonged use of topical steroids on the face is a common cause.
Cosmetics: Certain cosmetics or skin care products may contribute to its development.
Infections: Bacterial or fungal infections can sometimes play a role.
Hormonal factors: Changes in hormones, such as during pregnancy or menstrual cycles, may influence its onset.
Environmental factors: Exposure to harsh weather conditions or irritants can exacerbate symptoms.
Symptoms
Rash: Red, bumpy rash around the mouth, sometimes spreading to the nose and eyes.
Burning sensation: It may cause discomfort, itching, or a burning sensation.
Dryness: The affected area can become dry and flaky.
Papules and pustules: Small bumps (papules) or pus-filled bumps (pustules) may be present.
Peeling skin: Skin around the rash might peel or scale.
Treatment strategies
Discontinuation of steroids: If topical steroids are causing the condition, stopping them is crucial.
Topical treatments: Doctors may prescribe topical antibiotics (e.g., metronidasole) or immunosuppressants (e.g., tacrolimus).
Oral medications: In severe cases, oral antibiotics like tetracycline or doxycycline may be prescribed.
Avoiding triggers: Identify and avoid triggers such as certain cosmetics or harsh facial products.
Gentle skin care: Using mild cleansers and moisturisers suitable for sensitive skin.
Dietary changes: Some people find that avoiding spicy foods and beverages can help.
Follow-up: Regular follow-up with a dermatologist to monitor progress and adjust treatment if needed.
It's essential to consult a dermatologist for an accurate diagnosis and tailored treatment plan based on the severity and underlying causes of perioral dermatitis.
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