Perioral Dermatitis (Rosacea Variant) Triggered by Inhaled Steroids

Posted on April 26, 2010 | 2 Comments

Perioral dermatitis may be triggered by inhaled steroids according to a recent case report.

Perioral dermatitis is a fairly common skin disorder related to rosacea that is widely under-recognized by many non-dermatologists. It appears as tiny red bumps (papules) around the mouth and usually spares the skin closest to the lips. The bumps may itch or burn, and the skin may be red and flaky. Perioral dermatitis occurs most commonly in adult women, but may also affect men and children.

It is known that topical corticosteroids may worsen perioral dermatitis. In fact, a key component of perioral dermatitis treatment is to be sure that patients cease using any topical corticosteroids. However, the association of perioral dermatitis and inhaled corticosteroids used for the treatment of asthma, has not been widely reported.

However, a new case report published in Dermatology Online Journal, “Perioral dermatitis in a child associated with an inhalation steroid“, covers the case of a patient with perioral dermatitis that appeared to bed caused by inhaled steroids

This medication was discontinued and the patient was treated with oral doxycycline andalternating uses of topical clindamycin and metronidazole. There was quick resolution and at two months follow up the perioral lesions had completely disappeared.  In subsequent follow-ups there was no recurrence of the rash.

The authors concluded the patient’s perioral dermatitis was clearly caused by inhaled steroids.

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Rosacea Skin Care Advice from Dermatologist Todd Minars, M.D.

Posted on April 20, 2010 | 2 Comments

Miami dermatologist Todd Minars, M.D. provides people suffering from rosacea with a variety of rosacea skin care tips. These tips, called “Face Savers” are aimed at controlling rosacea outbreaks and reducing their severity.

Dr. Todd Minars suggested the following:

  1. “Clean your face gently no more than twice a day with Cetaphil cleanser or the medicated cleanser.
  2. Avoid hot showers, baths or saunas.
  3. Stay cool on hot or humid days (air conditioning and sip ice water).
  4. Avoid the sun.
  5. Switch from blades to an electric razor.
  6. Find substitutes for hot spices such as pepper, cayenne and paprika. Instead of chili powder, try a 2-to-1 blend of cumin and oregano.
  7. Try taking an antihistamine (e.g. Benadryl or Claritin) two hours before eating cheese, vinegar, processed beef or pork, or canned fish. It may also help to take an aspirin before meals high in niacin (meat, eggs, dairy)
  8. Minimize stress with proper sleep, deep breathing exercises, visualization, stretching, or yoga.
  9. Use transparent makeup with a green tint to help hide redness.
  10. Ask  (your doctor’s) aesthetician about skin care products that will not aggravate your condition.”

Dr. Todd Minars is in private practice at Minars Dermatology in Hollywood, Florida. He added his expert opinion regarding rosacea management to those of other leading dermatologists

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People with Rosacea Victims of Poor First Impressions

Posted on April 19, 2010 | 1 Comment

A rosacea survey of over 1500 people by the asked individuals to compare images of women with clear skin and images of the same women digitally enhanced to simulate rosacea symptoms on their faces.

The respondents formed judgments about the personalities of the women with papulopustular rosacea (type 2 rosacea), describing them as more likely to be insecure (33% vs. 13%) and shy (34% vs. 18%) than their counterparts. Compared to women with clear skin, women with rosacea symptoms were considered to be less intelligent (36% vs. 43%) and not as successful (18% vs. 32%).

“The survey results confirm that rosacea can have a strong impact on people professionally, socially and romantically,” said Samuel Huff, Executive Director of the National Rosacea Society.

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The Burden of Rosacea Reviewed by Dr. Richard Fried

Posted on April 19, 2010 | Leave a comment

Richard Fried M.D. PhD, a dermatologist and psychologist in Yardley Pennsylvania, discusses the burden rosacea places on the lives of people with rosacea blow to their pride and the prejudice of others to whom their disorder is all too apparent.

The article by Dr. Richard Fried , “Rosacea: Pride, Prejudice and Transparency” published in the April issue of Skin & Aging magazine describes how patients interpret and cope with their skin disorder and how dermatologists can help to alleviate their burden.

Dr Fried outlines how different rosacea treatment options are available for the redness, blood vessles, flushing and skin sensitivity of rosacea, as well as the anxiety that rosacea can provoke. He also describe alternative treatments for rosacea that may be of help for some patients.

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Alternative Treatments for Rosacea

Posted on April 13, 2010 | Leave a comment

Rosacea patients seeking information about alternative treatments for rosacea can can learn how to consider the pros and cons of these therapies from their own dermatologist.

“Many patients may turn to alternative therapies to treat their rosacea and it is important that they understand the importance of speaking to their doctor about the treatments they may be using and to be aware of possible side effects, ” said Dr. Mark Becker, founder and President of Vivacare, the company that provides the patient education resource to dermatologists.

Rosacea is a chronic skin disorder primarily of the facial skin, that leads to redness, bumps and pimples and skin thickening. Individuals who suspect they may have rosacea are urged to see a dermatologist for diagnosis and appropriate treatment.

Nearly 1/3 of people with rosacea will turn to an alternative therapy at some point during the course of their skin condition. The most common types of alternative therapies attempted are naturopathic cures and herbal remedies. Most are unaware that even “all natural” therapies have side effects and may worse their rosacea. For instance, two popular herbal remedies, St. John’s Wort and Echinacea, can cause severe sun sensitivity and hives.

It is important that patients taking alternative therapies tell their dermatologist so that the doctor is aware of possible side effects or drug interactions.

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Rosacea Diary Online from Dermatologists

Posted on April 12, 2010 | Leave a comment

April is National Rosacea Awareness Month and dermatologists enrolled in Vivacare’s online patient education now provide their patients up-to-date, in-depth information about rosacea, including a new rosacea diary to help rosacea patients identify the triggers that may lead to rosacea flares.

Dermatologists add rosacea handouts to their practice Websites for convenient online access by their patients.  New rosacea topics cover rosacea basics, different types of rosacea, rosacea treatment options, rosacea medications, (Oracea, MetroGel, Finacea), and lasers and IPL for rosacea.

The From Your Doctor patient education service enables leading dermatologists to create an online Patient Education Library with personalized patient handouts and clinical images. Dermatologists use the service to provide their patients with convenient access to practical health information that tools to help them better understand and manage their skin conditions.

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Rosacea Education by Dermatologists in Honor of Rosacea Awareness Month

Posted on April 8, 2010 | Leave a comment

Rosacea afflicts 16 million Americans and most of them don’t know it, but the public can now learn more about this chronic skin disorder from their own dermatologist.

The National Rosacea Society has designated April as National Rosacea Month to alert the public of the warning signs of rosacea and the importance of early diagnosis and treatment. In support of this effort, Vivacare has provided in-depth rosacea education resources to the 3,000 dermatologists that use Vivacare’s “From Your Doctor” patient education service. Vivacare has expanded the patient education content regarding rosacea to include patient handouts about the different subtypes of rosacea and rosacea treatment options, including topical medications (Finacea®, MetroGel®), oral medications (Oracea®), surgical procedures, IPL for rosacea, and a rosacea diary.

Dr. Mark Becker, pediatrician and President of Vivacare said that “by providing dermatologists with in-depth resources about rosacea, we help them inform their communities about this under diagnosed skin condition and the availability of safe and effective treatments.”

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