PERIORIFICIAL DERMATITIS

Periorificial dermatitis is an inflammatory rash involving the skin around the mouth and nose.

The rash may be spread  up to the nose or even the eyes.

Perioral dermatitis usually looks as red or scaly bumpy rash. There may be a clear fluid discharge. Slight itching and burning can also occur.

The condition is most common in women, but it can be seen in all ages, races, and ethnicities. It can occur in children of any age.

Perioral dermatitis may be disaapear without proper treatment, but it may reappear after sometime.

CAUSE

The cause of perioral dermatitis is unknown.   Some other causes of perioral dermatitis include:

bacteria getting into the hair follicles

• an allergic reaction
• irritation resulting due to a using skin care product 
• hormonal changes
• taking a birth control pill
• strong winds
• UV light

SYMPTOMS

• Bumps (1-2 mm)
• Red
• Pus-filled
• Dry patches
• Mild scaling (in some cases)
• Pruritus (in some cases)
• Mild stinging & burning

TYPES

Common forms of eyelid dermatitis include:

• Allergic contact dermatitis develops because of an allergic reaction that causes inflammation of the skin, such as pollen in a person with hay fever. Some cosmetic products  are common causes of allergic skin reactions.
• Irritant contact dermatitis is caused by the eyelid coming into direct contact with a substance that damages the outer layer of the skin, such as certain types of makeup, soaps, and detergents.
• Atopic dermatitis is a form of eczema that can affect the eyelids.
• Seborrheic dermatitis it is a condition in which  the skin to become inflamed and flakey also whitish in color. It also occurs on the scalp but can also affect oily areas of skin, such as the eyelids.
• RISK FACTOR:- The skin around the eyes is thin and delicate, and so the eyes are especially sensitive to irritation.
• While it is hard to predict who will develop eyelid dermatitis, certain factors may increase the likelihood of the condition developing. These include:
• Age. Childerns are more prone to certain types of dermatitis  such as seborrheic dermatitis, also called cradle cap.
• Genetics. Skin conditions often run in families.
• Poor personal hygiene. If body is not clean it can lead to this condition.
• Certain professions. These include  frequent exposure to disease causing agent , such as construction, envoirmental , cosmetic, and beauty workers.
• Certain medications. Some medicine like neomycin or beta-blockers can cause the dermatitis.

COMPLICATION

Some complications that may occur with eyelid dermatitis include:

• Skin infections. Scratching or rubbing the eyes can lead the skin  infections.
• Difficulty sleeping. If eyelid get infected it can cause discomfort during sleeping.
• Other skin conditions. In case of eyelid dermatitis to occur before skin inflammation on other areas of the body.
• Neurodermatitis.  Chronic scratching can cause the skin to become discolored and leathery
• Medical conditions. Some disease are more prone to dermatitis like Hay fever, asthma or other skin conditions.

DIAGNOSIS

It is possible to self-diagnose eyelid dermatitis if the cause is obvious. 

• A doctor can often diagnose the form of dermatitis through a physical examination. 
• When an allergic reaction is suspected as the cause, a doctor may perscribed a patch test. 
• The doctor or dermatologist may also perform a skin culture test to find out the possible infection
• If an irritant is the suspected cause, a repeated open application test( ROAT) can be used.
• It can be more difficult to determine a specific irritant compared with an allergen.

PREVENTION

It may not be possible to prevent all cases but  you should follow all these steps. 

• The best prevention is avoid the use of any steroids around your mouth.  
• Washing your skin daily with good quality cleansers can help keep your skin free of irritants and acne. 
• Light moisturizers can also stop your skin from drying out and roughned.

AYURVEDIC VIEW FOR THE CAUSE OF  PERIORIFICAL DERMATITIS

According to ayurveda dermatitis result due to it wrong diet and lifestyle, which disturbs the digestion and trigger pitta dosha. Pitta menifests in the skin and causes the heating, toxins known as Ama get accumulated and then these toxins accumulate in body tissues ,infecting them at a deep level and causing dermatitis.

AYURVEDIC HERBS USED IN PERIORIFICIAL DERMATITIS

• Nirgundi
• Turmeric
• Aloevera
• Manjishtha
• Neem
• Gandhak Rasayan
• Guduchi
• Triphala

AYURVEDIC  TREATMENT FOR PERIORIFICIAL DERMATITIS

According to ayurveda each person has three energies and called in ayurveda is dosha. These doshas include vata, pitta, and kapha energies. Each dosha controls specific bodily functions. According to Ayurvedic medicine, the doshas should be in balance and to maintain good health.  Thus, the aim of Ayurveda is to balance them by natural treatments. It also aims to purify the body, which is said to remove toxins of the body. In case of skin disease the ayurvedic treatment include combination of therapies and medications. During this treatment patient will also need to make  some dietary changes depending on the Dosha . Medications help in reducing the skin irritation, reducing itching, and remove the root cause of the problem.During the treatment patient has need to change in diet and lifestyle. In Panchakarma treatment procedure  like lepam (face packs with medicinal herbs), dhoopanam(medicated fumigation), and . Medications help in reducing the skin irritation, reducing itching, and remove the root cause of the problem.During the treatment patient has need to change in diet and lifestyle. In Panchakarma treatment procedure  like lepam (face packs with medicinal herbs), dhoopanam(medicated fumigation), and udhwarthanam(massage with dry herbal powders), Virechana, Dhara, Snehana, etc. are used as per the patient’s condition. It is concluded that a panchkarma treatment is very useful in all skin disorder.