Treatment of oral dermatitis in adults and children requires an integrated approach. This is a disease characterized by inflammation of the skin around the mouth and chin. It can manifest itself as a pair of small pimples, as well as multiple rashes.
Reasons
Experts in the field of medicine cannot yet name the exact causes and treatment of oral dermatitis. Often this disease is detected in patients who have long-term use of corticosteroid drugs for the treatment of other diseases associated with skin lesions of the face. In newborns, this disease can occur due to:
- poor baby skin care - irritation of delicate skin from diapers or diapers;
- contact with clothes that have been washed with active powders;
- skin injury.
Factors causing disease
The following are factors that can trigger the development of oral dermatitis in adults. This is:
- sunburn skin;
- allergic reaction to personal care products;
- usefluoride-containing personal care products;
- presence of hormonal diseases;
- presence of various gynecological diseases;
- menstrual cycle can increase the manifestation of the disease;
- use of oral contraceptives;
- poor hygiene in the anus - damage and infection of the skin by bacteria;
- skin prone to acne;
- heavy sweating;
- overweight;
- lowered immunity, which contributes to the easy development of any infection;
- prolonged diarrhea.
Symptoms
Oral dermatitis may present with the following symptoms:
- a painful condition appears in the mouth area, constant itching, burning, redness, a feeling of dry skin, the formation of small red pimples;
- out of red small pimples of a clear liquid, over time, the replacement of a clear liquid with pus;
- group accumulation of pimples or formation of colonies;
- skin peeling in inflamed areas;
- redness under acne;
- roughness of the skin, which is associated with the presence of a large number of small acne;
- appearance of blepharitis or conjunctivitis;
- aggravated burning sensation when treated with alcohol or cosmetics.
Rash in oral dermatitis is usually small. The above rashes look like ordinary red pimples. If you notice thatafter a decrease in the area of development of dermatitis in the area of \u200b\u200bthe mouth, age spots remain, then with a high probability this is oral dermatitis. Oral dermatitis is often confused with neurodermatitis, which in most cases recurs throughout life. Therefore, it is highly recommended to consult a dermatologist to determine the type of skin rash.
Diagnosis
Timely diagnosis allows timely start of therapeutic measures in case of oral dermatitis.
Differential diagnosis is usually not difficult. But there are other dermatoses with a similar clinical picture, so they should be differentiated from oral dermatitis. Differentiation of dermatitis is reduced to determining the place of their localization. Irritation and rash on the skin in the area around the mouth in most cases indicates the presence of oral dermatitis. To confirm the nature of the rash, the following laboratory tests and tests are prescribed:
- blood test;
- skin tests;
- tests to determine the amount of immunoglobulins;
- in selected cases biopsy;
- bacterial culture of scrapings;
- analysis for dysbacteriosis;
- biochemical blood test to monitor liver and kidney function;
- assessment of the general condition of the body.
The results of all tests are evaluated by a dermatologist, and if the dermatitis character is not confirmed, the patient is referred for further examination.
Oral dermatitis in children
Oral dermatitis on the skin of a child's face is expressed by certain features. In children, the color of the rash can be from pale pink to yellow-brown. In babies, it is necessary to clarify the cause of the rash and treat it. If this is not done, then a cosmetic defect in the form of age spots may remain on the sensitive skin of the child. To clarify the cause, a microbiological examination of the child's skin scraping is carried out.
Children are more likely to suffer from such facial dermatitis, which has an asthmatic syndrome. This is due to the fact that they take drugs that can be a provoking factor in oral dermatitis. When the child feels a decrease in the number of seizures, he practically stops using the inhaler. This leads to the so-called withdrawal syndrome, which can affect hormonal levels. In children, this disease occurs without much discomfort. A child can only receive aesthetic discomfort from the presence of a visual flaw on the face. It is worth saying that oral dermatitis in children is most often localized around the mouth, but can also be in the eye area.
There are two stages in the treatment of oral dermatitis in children (a photo of the manifestations of the disease is in the article).
- Cancellation of all drugs that can affect the development of oral rash, if the treatment of the underlying disease allows this. First of all, it is necessary to cancel all hormonal drugs. Then eliminate all corticosteroids. After that it is necessaryprevent the strong effects of the withdrawal syndrome on the body. At this stage, it is worth not only canceling hormone therapy, but also stopping the use of aggressive cosmetic products. This is due to the fact that damaged skin may be sensitive to their components. If this stage does not lead to improvement, then a second stage is carried out.
- At the second stage, the causative agent of oral dermatitis is completely destroyed. For such events, there are many antibacterial drugs. The type and dosage of the drug will be prescribed by the doctor after a complete medical examination. Treatment with these drugs lasts for two months. It is important after the complete cure of oral dermatitis in a child to carry out regular prophylaxis, this will avoid re-charging. For prevention, folk remedies are most often used.
Pharmacy products
For the treatment of oral dermatitis (photo of its manifestations above), local preparations can be used. Such means are antibacterial ointments. They not only allow you to quickly remove the symptoms of dermatitis, but also have a positive effect with an integrated approach. Glucocorticoid hormones can be added to such preparations in order to give the preparations anti-inflammatory properties. The composition of such ointments may even include antibiotics. Before using such ointments, you should consult a doctor.
The following are facial ointments for the treatment of oral dermatitis (photos of some drugs below).
- "Laticort". Consists of active ingredienthydrocortisone butyrate. This drug is a glucocorticoid drug that is used externally.
- "Pimafukort". Consists of active ingredients hydrocortisone, natamycin, neomycin. Combined drug with antimicrobial, antifungal and local anti-inflammatory action.
- "Cortomycetin". Consists of the active ingredients hydrocortisone and chloramphenicol. Combined drug with anti-inflammatory, anti-allergic and antimicrobial action.
- "Gyoksizon", "Oksikort". They consist of the active ingredients hydrocortisone and oxytetracycline. Combined drug with antibacterial and anti-inflammatory action.
- "Dermovate", "Powercourt cream". They consist of the active substance clobetasol. This drug stands out among others for its very powerful action. It is used only in severe cases.
If oral dermatitis is accompanied by another skin disease and the affected area is large, then antihistamines in the form of tablets are used for complex treatment. Their action is aimed at a general anti-inflammatory effect on the body. The following antihistamines are used to treat oral dermatitis on the face (the photo of the manifestations of the disease was higher):
- "Dimedrol";
- "Diazolin";
- "Suprastin";
- "Tavegil";
- "Fenkarol".
Alsoprescribe cortico-containing drugs in the form of tablets. These drugs are prescribed if dermatitis is not only on the face, but also on other parts of the body. The action of this drug is similar to hormone therapy. Such drugs have a pronounced anti-inflammatory effect. These drugs for the treatment of oral dermatitis include:
- "Prednisol";
- "Flumethasone";
- "Dexamethasone";
- "Triamcinolone".
If the cause of the development of dermatitis was the impact of one's own immunity, then immunosuppressants should be used, the action of which is aimed at suppressing one's own immunity.
Folk treatment
Folk treatment involves the use of the following recipes.
- Glycerin mixture is used for topical skin hydration. Due to its oily texture, it is suitable for the prevention of dry skin. This mixture is made by adding some glycerin and starch to whole milk until a viscous mixture is obtained. This ointment is applied at bedtime to the area affected by oral dermatitis.
- Cranberry ointment can cope with severe itching, burning, skin irritation at the site of oral dermatitis. The ointment is made by mixing 50 g of freshly squeezed juice with 200 grams of petroleum jelly. You can apply the resulting ointment both to the affected area and beyond it.
- Ointment from the leaves of St. John's wort. St. John's wort leaves crushed in a wooden mortar. Pour boiling water over the resulting dust and leave it alone for half a month. Preparing tincturemust be shaken regularly. After infusion, the mixture is filtered and stored in a dark place. The ointment is applied to the skin in the affected area. After applying this ointment, it is recommended not to go outside, this is due to the fact that the components of St. John's wort leaves can increase skin sensitivity to the sun.
Compresses
For dermatitis around the mouth, the following compresses are used:
- Compress with a decoction of birch buds effectively eliminates irritation and other signs of oral dermatitis. Prepare a decoction of five tablespoons of birch buds. These kidneys are poured with a glass of boiling water and infused for about ten minutes. The resulting broth is filtered and stored in a cold place. After soaking the gauze with liquid, lay it on the skin at the site of the lesion.
- Decoction of oak bark. The bark is crushed and poured with a glass of boiling water and continue to cook in a water bath for ten minutes. The resulting broth is filtered and consumed, as in the previous recipe.
- Juice or gruel of raw potatoes. Potato compresses are good for getting rid of the symptoms of dermatitis. Prepare the composition for the compress by grinding in a blender or grating. Then the resulting slurry is applied to the skin, fixing with a bandage.
- Marsh marigold leaves are recommended for use as an anti-inflammatory or analgesic for oral dermatitis. Pour boiling water over crushed marigold leaves, after which they are applied to the skin through gauze or a napkin.
Diet
Diet for oral dermatitis should mainly be aimed at the rapid regeneration of the skin and the removal of inflammation. Avoid the following foods that can aggravate skin conditions:
- various fast food like chips, nuts, croutons, etc;
- foods that may cause allergic skin conditions;
- carbonated drinks, as they contain a large amount of sugar and other additives that are harmful to the body;
- limit alcohol intake;
- wheat flour bakery products;
- sweets;
- mushrooms, as they may contain toxins that affect skin condition;
- fatty meats;
- soy products.
For oral dermatitis, you can eat the following foods that can prevent inflammation:
- lean meats;
- black bread;
- cow's milk products that are rich in bacteria that are good for the whole body;
- fresh juices rich in vitamins;
- greens such as parsley, dill, basil, etc;
- any vegetables;
- tea - this drink will help remove toxins from the body that can form during the development of dermatitis;
- any cereals.
Prevention of oral dermatitis
To minimize the risk, preventive measures are taken. They are available for both newborns andfor adults. Prevention of the disease in newborns comes down to:
- regular baby skin care;
- replacing aggressive powders with ones that are safer for baby's skin;
- replacing tight diapers with looser ones;
- less tight wrapping of baby.
For adults, the following preventive measures are effective:
- avoiding oral burns;
- avoiding sunburn on the skin of the face;
- replacing harsh personal care products that cause allergic reactions;
- normalization of hormone levels in the body;
- refuse to use oral contraceptives;
- with heavy sweating, constantly use napkins;
- should constantly monitor the level of immunity, if the doctor noticed a deviation, then this level must be brought back to normal;
- stay away from fluoride toothpaste;
- quitting smoking and drinking alcohol;
- refuse to get tattoos on the skin of the face;
- refuse to take glucocorticoid drugs.
Judging by the reviews, the treatment of oral dermatitis on the face with the above listed means is quite effective. The main thing is to follow the recommendations of experts.
