How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask dermdoc19 Your Own Question

dermdoc19
dermdoc19, Dermatologist
Category: Dermatology
Satisfied Customers: 3923
Experience:  30 years practice in general and cosmetic dermatology
50983945
Type Your Dermatology Question Here...
dermdoc19 is online now
A new question is answered every 9 seconds

small blister type rash from corners of mouth down to chin.

Resolved Question:

small blister type rash from corners of mouth down to chin. I have not been wearing makeup, I have tried cortisone creams and they reduce the rash sometimes, but it still comes back. The blisters look more like little pimples. Is this a food allergy or something more. I have had it for over three months
Submitted: 3 years ago.
Category: Dermatology
Expert:  dermdoc19 replied 3 years ago.

dermdoc19 :

Hello

dermdoc19 :

From your description, sex and age, this sounds like it might be peri-oral dermatitis. I would be happy to confirm this, if you would be able to forward a picture.

Customer:

I did look up the description of peri-oral dermatitis, perhaps I should mention that I am post-menapausal (complete hystirectomy in 2007), I am very light-skinned, and I do react to facial creams and sun screen. I have been avoiding foundations, and skin creams.

Customer:

[IMAGE][SRC][/SRC][ALT][/ALT][WIDTH]133.125[/WIDTH][HEIGHT]100[/HEIGHT][STYLE][/STYLE][/IMAGE]

Customer:

I am sending picture

Customer:

facial rash
Full Size Image

Customer:

facial rash 2
Full Size Image

dermdoc19 :

I feel this is peri-oral dermatitis, a rather severe case. However, there is a possibility, in light of your use of cortisone creams that there may be some yeast at play, especially in the lateral corners of the mouth.

dermdoc19 :

There are a number of measures to be taken. Brush your teeth at least an hour before bedtime. Continue to not wear skin care products on your face a night.

Customer:

I have tried acne medications and washes in the past, they just make it worse. Is there anything I can use to lessen the appearance?

dermdoc19 :

I realize there may be pieces blaming female hormones for this, but that is all speculation. A thorough review of the literature which I did a few years ago, before giving a lecture at the medical school on the topic, failed to find any support for this.

dermdoc19 :

Some anti-acne medications help this, but some make it worse. Benzoyl Peroxides flare this condition up badly so should not be used.

dermdoc19 :

Retin A cream is sometimes OK, but not when it is flared. Topical Clindamycin is an anti-acne medication which is quite beneficial.

dermdoc19 :

Any sort of peel or microdermabrasion worsens the situation.

dermdoc19 :

By far the best treatment for this is oral Tetracycline? Was this tried?

Customer:

No, I have not tried any antibiotics.

Customer:

Would your recommendation be that I see my doctor and ask for a prescription?

dermdoc19 :

Yes, Tetracycline would be the choice. It is safe, cheap and effective. I would scrape the corner for a KOH scraping to rule out a fungus. Cleocin Lotion is very good for this. Some people like Epiceram too. You do not want to use a steroid: you may even have steroid acne, complicating the above...plus it makes you prone to a yeast infection...especially in the corners of the mouth which is moist and provides a good environment for yeast.

Customer:

Thank you for your time, I appreciate the attention and detail you have provided for possible treatments.

dermdoc19 :

You're welcome...also make sure you use a simple toothpaste: Arm & Hammer...Tom's of Maine come to mind. Should not have tartar control.

dermdoc19, Dermatologist
Category: Dermatology
Satisfied Customers: 3923
Experience: 30 years practice in general and cosmetic dermatology
dermdoc19 and other Dermatology Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • dermdoc19

    Dermatologist

    Satisfied Customers:

    3474
    30 years practice in general and cosmetic dermatology
< Last | Next >
  • http://ww2.justanswer.com/uploads/dermdoc19/2010-09-30_160749_Photo_122807_015.JPG dermdoc19's Avatar

    dermdoc19

    Dermatologist

    Satisfied Customers:

    3474
    30 years practice in general and cosmetic dermatology
  • http://ww2.justanswer.com/uploads/AX/axedoc2010/2012-4-9_193033_DSC96671.64x64.JPG Dr. Nair's Avatar

    Dr. Nair

    Dermatologist

    Satisfied Customers:

    7176
    MBBS, MD (Dermatology, Venereology & Leprology)
  • http://ww2.justanswer.com/uploads/DR/Dr.shahzad/2013-5-28_122559_IMG2564.64x64.JPG Dr. Shahz's Avatar

    Dr. Shahz

    Dermatologist

    Satisfied Customers:

    243
    MBBS, MCPS, MD
  • http://ww2.justanswer.com/uploads/tcsatish/2009-4-14_221547_satish_pp.jpg Dr. Skinner's Avatar

    Dr. Skinner

    Dermatologist

    Satisfied Customers:

    1548
    MD , DNB ( D &V), FAAD
  • http://ww2.justanswer.com/uploads/drhanish/2008-8-5_71640_drhanish.jpg Dr. Hanish Babu, MD's Avatar

    Dr. Hanish Babu, MD

    Dermatologist

    Satisfied Customers:

    261
    MBBS; MD 26 years Experience.
  • http://ww2.justanswer.com/uploads/DR/DrVenkat/2013-11-1_14129_profile.64x64.jpg Dr. S. Attili's Avatar

    Dr. S. Attili

    Dermatologist & Dermatopathologist

    Satisfied Customers:

    4121
    MRCP (Dermatology), Int. Board Certification in Dermatopathology
  • http://ww2.justanswer.com/uploads/SK/skindoctor2000/HCM2.64x64.jpg Dr. Pravin's Avatar

    Dr. Pravin

    Dermatologist

    Satisfied Customers:

    692
    Senior Consultant MBBS DNB (DVD)