Posted by Erin (Washington, District of Colombia) on 12/16/2008
[NAY] I unknowingly had perioral dermatitis in sporadic bouts for the last 5 years. The first time it was just a dry red patch on my chin in the winter during college - it went away on its own. The second time was 4 years later and it was awful, a full red 'goatee' of peeling redness that coincided with pneumonia and my doctor gave me topical ketaconazole 2% to treat it but never told me what it was. It went away within a week, I was so pleased!
It came back this year, (3 years later) and I recognized the redness before it got really bad. The ACV remedy I found was a spray mixed with a few drops of lavendar essential oil for additional calming. the vinegar burned my face a lot and even after 10 days of using it the redness hadn't gone away, or changed at all. A pharmacist told me that if prescription ketaconazole worked once, I could try OTC miconazole 2%. You will recognize the brand name Monistat. It didn't have the same effect as the Keta, but it kept the skin moist and not icthy or peeling.
Finally I went to a dermatologist who diagnosed the PD and said to throw out every cosmetic product I had, including my toothpaste, and to wash only with Dove Sensitive Skin (no fragrance or dyes), and find a toothpaste that does not have Tartar Control additives. I am on 3 months of Doxycycline which I am not thrilled about but he basically told me that if I don't get rid of the bacteria that is causing this, for good, the PD will come back again and again in closer and closer cycles until it is permanent.
I'm also moisturizing with Neutrogena Sensitive Skin because besides having no fragrances and dyes, it's the only moisturizer i've found that doesn't have SPF which causes really bad breakouts on my face. I recently tried Dermalogica thinking it would be better but i got a dry patch on my chin almost the next day!
I wish ACV had worked for me...