The perioral dermatitis is a non - toxic and non - contagious skin disease that primarily affects women. Because typical symptoms are associated with excessive use of cosmetics, this disease is also known as dummy or flight attendant disease.
Although perioral dermatitis is a harmless skin disease, it is perceived as aesthetically disturbing and represents a significant psychological burden for those affected. Generally, the disease is easy to treat and does not have scars.
The first sign is a red rash, mainly around the mouth, but also around the eyes. Often, small skin nodules (papules) connect to each other to larger areas, as slight patches appear on the skin. In the early stages, the disease is often mistaken for acne.
What are typical symptoms of perioral dermatitis?
Perioral dermatitis shows flat, slightly scaly redness, especially around the mouth (perioral). At an advanced stage, the stewardess's disease can additionally appear in the area of the nostrils and spread to the corners of the mouth and the lateral areas of the chin.
It can also happen that perioral dermatitis appears only around the eyelids (periocular) or only in the area of the nose (perinasal).
Among those affected, reddish papules (elevations of the skin) about two millimeters high, or pustules (small sheets of pus) are common. The rash may be associated with a feeling of tension and persistent itching.
A narrow border around the mouth is particularly typical, unaffected by perioral eczema. In women, the symptoms of this condition are often most pronounced just before menstruation, one reason for this is hormonal changes in the body.
What causes disease onset stewardess?
Doctors consider hostess disease to be a type of rosacea or couperosis, a plant-related vascular enlargement. The exact causes of the disease are not clear.
However, several triggers are suspected of causing this rash. These can, for example:
· Hormonal fluctuations
· Gastrointestinal disease
· Yeast infections as well as bacteria or also
· Fluoride-containing toothpaste
Also, an internal or external application of cortisone-containing medications to the face can cause the rash.
However, one of the most common causes of perioral dermatitis is overuse of care products. Therefore, it can occur if there is an incompatibility of the facial skin against substances contained in cosmetics, such as makeup, face creams or cleansers.
Too frequent use of drugs destroys the skin's barrier function. Then it can no longer produce the necessary fats, causing them to dry out, tighten, and become rough.
Many women apply even more care products to the affected areas of the skin or try to soothe the reddened areas, which intensifies the rash. Since inflammatory reactions occur and the risk of the appearance of stewardess disease increases.
Perioral dermatitis in children
Corticosteroids (such as cortisone) appear to be responsible for the development of perioral eczema in childhood. These are often prescribed in the treatment of, for example, asthma or allergies. Sunscreen preparations based on physical UV filters are also suspected of activating this disease.
Since in children it is also the female sex that is predominantly affected, it is reasonable to assume that there is an additional genetic predisposition to skin disease.
Treatment of perioral dermatitis
A doctor first identifies the cause of the rash onset and then initiates the correct treatment. If it is clearly established that it is perioral dermatitis, the patient's treatment should begin as soon as possible, as it is usually a lengthy process. In any case, the use of cosmetic products should be stopped completely, as often the excessive use of care products is the trigger.
For facial care, only the remedy prescribed by the doctor can be used. The affected areas of the skin are preferably cleaned only with warm water. This may initially cause the red rash to become heavier, the skin to tighten, burn, and cause a somewhat painful inflammation.
After about three weeks, symptoms usually ease and improvement is noticeable. A total care product exemption for a total of six to twelve weeks is recommended.
The use of products containing cortisone should be completely avoided in case of perioral dermatitis. The skin adjusts quickly and after stopping the drug, the rash may get worse.
Instead, the doctor generally prescribes externally applied creams for perioral dermatitis. In severe cases where strong inflammatory processes occur, antibiotics are included, which must be taken for several weeks.
Homeopathy and home remedies for perioral dermatitis
Many people try to avoid pharmaceutical drugs and creams in the treatment of perioral dermatitis and use homeopathic preparations for this purpose. Naturopaths suspect that a massive amalgam load (for example, due to amalgam dental fillings) could be responsible for the development of hostess disease.
As the means of choice for treatment, they prescribe antimonium crudum D6 - one tablet three times a day.
Sachets soaked in black or green tea can also help to ease discomfort. The tannins contained in the tea have a calming effect on the skin. The tea must be heated for at least five minutes to release the tannins, then allow it to cool slightly, because the heat favors the inflammation process.
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