How Long Will It Take To Get Rid Of Perioral Dermatitis
Expect gradual improvement. This rash tends to clear slowly. It may take a few weeks or a few months to clear completely.
If youre having trouble getting rid of a rash, you can find a board-certified dermatologist by going to: Find a dermatologist.
ImagesImage 1: Used with permission of the American Academy of Dermatology National Library of Dermatologic Teaching Slides.
ReferencesChamlin SL and Lawley LP. Perioral dermatitis. In: Wolff K, et al. Fitzpatricks dermatology in general medicine . McGraw Hill Medical, USA, 2008:709-12.
Nguyen V and Eichenfield LF. Periorificial dermatitis in children and adolescents. J Am Acad Dermatol 2006 55:781-5.
Rodríguez-Martín M, Sáez-Rodríguez M, et al. Case letters: Treatment of perioral dermatitis with topical pimecrolimus. J Am Acad Dermatol 2007 56:529-30.
What Is Lip Eczema
Eczema refers to a group of skin rash that involves skin dryness, redness, cracking, painful blisters, and overall inflammation of the lips.
Eczema can show up on any part of your body.
Lip eczema, also known as lip dermatitis or eczematous cheilitis, is a common skin condition to treat. It can affect any age group, from infants to adults.
The challenge lies in discovering the cause. Once the cause is found, several good treatments can be used.
Sometimes the cause is found quickly and there is never a relapse. In other cases, the cause cannot be found for eczema patients.
For some, lip eczema can be a chronic lifelong problem that can wax and wane over time and may start in adolescence or adulthood.
In severe cases, it can interfere with nutrition, hydration, and communication. So the sooner it is diagnosed and treated, the faster you can get back to living your best life!
There are 3 major groups of eczema on the lips:
When Should I Contact My Healthcare Provider
Contact your healthcare provider if you have:
- Severe lip sores that are open, bleed or dont improve with treatment.
- Hives and swelling around your face, lips or eyes.
A note from Cleveland Clinic
Eczema on the lips is a skin condition that can make them red, dry and cracked. Talk to your healthcare provider if your lip irritation doesnt go away in a few days. They can make sure you dont have an illness or infection. Lip ointment, moisturizers or steroids usually helps lip eczema.
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Eczema Around The Mouth And Lips: Your Guide
Eczema can affect many different parts of the face and body, including the mouth and lips. Eczema that develops around the mouth is generally referred to as perioral eczema. However, several different types of eczema can affect the mouth area, causing uncomfortable and irritating symptoms such as a red, bumpy rash around the mouth and scaly, dry skin on the lips.
Eczema around the mouth and lips is sometimes confused with other conditions. You might mistake this itchy, bumpy rash for acne, seasonal dryness, an allergic reaction, or cold sores. Its important not to make assumptions. If you think that you or someone you love might be experiencing eczema around the mouth or on the lips, make sure to get the right diagnosis and work with your dermatologist to find the best treatment.
Ultraviolet Radiation Therapy For Eczema
Exposure to ultraviolet radiation can help reduce the symptoms of chronic eczema. Exposure under medical supervision can be carefully monitored with the use of specially designed cabinets the person stands naked in the cabinet and fluorescent tubes emit ultraviolet radiation.A person with stubborn eczema may need up to 30 sessions. The risks of unsupervised ultraviolet radiation therapy can be the same as for sunbathing faster ageing of the skin and greater risk of skin cancer.
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Upper Lip Eczema Meaning
Saliva is one of the most common rash causes in infants and children around the lips and on chest. If you look at any pictures showing upper lip eczema or eczema around lips, you will notice that the problem will have been caused by constant lip licking.
A rash is defined as any change in the color look or texture of your skin. When you have upper lip eczema you are likely to notice swelling, redness, irritation and you may also experience some pain. Upper lip eczema can affect any person regardless of race, age or gender, even though it is likely to be less visible in people who have very dark skin.On the other hand, lower lip eczema according to the statistics of CDC, it affects between 9% to 20% of all infants, and around 3% of the adult population. In infants, the condition can cause crusting and oozing and parents, therefore, need to be on the lookout for the symptoms mentioned earlier.
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Treating Eczema Around The Mouth And On The Lips
If you develop eczema around your mouth or lips, take a trip to your dermatologist. They will be able to determine what is behind your symptoms and if it is eczema, what type of eczema you have. A dermatologist will ask about your symptoms and examine the affected area. In some cases, your doctor might also do a skin biopsy.
Once you and your doctor know whats going on, its time for a treatment plan. The first step will likely be to eliminate potential irritants. This may include topical steroids, as well as lip products or lotions that could be causing more irritation.
If eliminating triggers is not enough to improve your symptoms, your dermatologist may recommend the following suggestions to help treat eczema around the mouth and on the lips.
General Tips For Coping With Eczema
Other tips to manage your eczema include:
- Keep your fingernails short longer nails are more likely to injure your skin when you scratch.
- If the water in your area is hard or alkaline, consider installing a water-softening device.
- Swim in the sea in warm weather whenever you can seawater is known to reduce the symptoms of eczema.
- Use sun exposure for limited periods for example, when swimming at the beach. This can help relieve eczema symptoms. But be aware that ultraviolet radiation is a risk factor for skin cancer and premature ageing of the skin. Also, if sun exposure causes overheating, this can also aggravate eczema.
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Are There Different Types Of Cheilitis
The term cheilitis describes general lip irritation. Eczematous cheilitis is the most common form, but other common types include:
- Angular cheilitis, which usually affects the corners of the mouth and is often the result of a fungal or yeast infection.
- Infective cheilitis, which can be the result of the herpes simplex virus or bacterial infections such as group A streptococcal infections. Some forms are contagious.
Avoid Make Up Lipstick And Unlabeled Creams To Allow Your Lips To Heal
One of the best ways to improve lip dermatitis is to avoid your triggers when possible. These include any known allergens, as well as sensitivities to chemicals. Make up, lipstick, and certain creams may contain ingredients that are causing your lips to flare up.
Even after eliminating these triggers, it can take some time for the rashes to clear up.
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Common Causes Of Lip Eczema
“Many factors can play a role in lip eczema,” Birnbaum explains. “If you have eczema elsewhere on your body, your lips can be an extension of that condition, in which your skin barrier is defective.” However, you don’t have to have eczema anywhere else on your body in order for it to show up on your lips. Sometimes, “lip eczema can be caused or worsened by lip licking,” Birnbaum says. “Patients with lip eczema try to moisten their lips by licking them, but it turns out this actually makes things worse, as saliva is very irritating.”
Cold, dry climates can also exacerbate the symptoms of lip eczema by pulling even more moisture from the thin skin on the lips .
Finally, other common causes of lip eczema include the overuse of lip balm that contains irritating or allergen-inducing ingredients, most commonly artificial ingredients or synthetic fragrance. Board-certified dermatologist Keira Barr, M.D., notes that many ingredients found in toothpaste can have this effect. Or, another sneaky culprit, according to board-certified doctor Alan Dattner, M.D., is traditional nail polishes: The irritating ingredients can trigger contact dermatitis when we touch sensitive areas like our eyes and lips.
How Is Eczema Diagnosed
There is no specific test used to diagnose eczema. A doctor will look at the rash and ask about your symptoms and past health, as well as your familys health. If you or your family members have any atopic conditions, thats an important clue.
The doctor will want to rule out other conditions that can cause skin inflammation. The doctor might recommend that you see a dermatologist or an allergist.
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Who Gets Eczematous Cheilitis And Why
Eczematous cheilitis can be divided into two major groups based on the cause:
- Endogenous, meaning it is due to an inherent characteristic of the person. Atopic dermatitis is the most common example of this form of eczematous cheilitis.
- Exogenous, meaning it is due to something from outside the body. This group can be further subdivided into:
- Irritant contact cheilitis lip-licking is the major cause of this type of eczematous cheilitis. Other common causes of irritant cheilitis include cosmetics, foods and environmental factors.
- Allergic contact cheilitis a relevant allergic reaction is identified in at least one-quarter of cases of eczematous cheilitis. Common sources of allergens include lipsticks and other lip care products, toothpaste and dental materials, foods, medications and nail varnish.
Often a combination of factors is present.
Rarely, contact urticaria can present as cheilitis when the allergen is used in small amount frequently, such as the flavouring in a toothpaste.
Sometimes no cause can be identified.
Key Points About Atopic Dermatitis In Children
Atopic dermatitis is a long-term skin condition. Its common in babies and children.
A child with allergies or family members with atopic dermatitis has a higher chance of having atopic dermatitis.
Itching, dryness, and redness are common symptoms.
The goals of treatment are to ease itching and inflammation of the skin, increase moisture, and prevent infection.
Staying away from triggers is important to manage the condition.
It usually gets better or goes away as a child gets older.
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Home Remedies To Get Rid Of Lip Eczema
Following are home remedies and food prescriptions that will help allay the symptoms of eczema effectively:
It is an effective way to treat lip eczema and to keep your skin moisturized.
Do massage to your lips and leave overnight. You may apply shea butter as often as you want to keep away from excessive drying, cracking and crusting of the lips.
Flax seeds is an excellent reedy for eczema. These seeds are rich in omega 3 fatty acids, which are known to battle the symptoms of eczema and also prevent exacerbation. Keep having 3-5 teaspoons of roasted seeds on a daily basis.
Incorporate carrots, papayas, mangoes and prunes in your daily menu:
These are loaded with vitamin A which is an important nutrient for a healthy and disease free skin.
Omega-3 fatty acid supplement:
Take an omega-3 fatty acid supplement to make up for any dietary deficiencies. Talk to your doctor about the dosage that would be suitable for you.
Aromatherapy is effective for eczema and dermatitis too. Essential oils such as carrot seed oil, lavender oil and chamomile oil have healing and soothing properties. Blend together 2 drops of any one of the essential oils with 10 drops of a carrier oil such as avocado oil. Apply this frequently.
Avoid sodium laurel sulfate or paraben:
Eczema occurs due to an allergic reaction to things that you use in everyday life. Soaps, shampoos, lipsticks are etiological factors. Avoid anything that has sodium laurel sulfate or paraben, these can trigger eczema.
Lip Eczema In Infants
Young children and babies can develop irritated, cracked and dry lips through many ways. One of the most common causes include contact allergens or irritants. It can be often seen that continuous saliva from drooling can act as a culprit in babies. Irritation occurs when saliva comes out and left to stay on the lips.
Probably prolonged hours of irritation leads to the dry, red, irritating rash all around the mouth of the babies making the eczema symptoms severe. Lip licking can make the skin condition worse in many cases leading to dryness and chapped lips.
These cracked lips are painful and thus cause soreness. Children who develop respiratory infection or are sensitive to cold are likely to have eczema on lips.
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What Is The Outlook For Eczema On The Lips
There is no cure for eczema. However, you can learn to manage it with proper medical treatment. Its best to keep a diary of when flare-ups occur and notice any emotional, environmental, dietary, and lifestyle changes you experienced at that time. This will help you pinpoint where the outbreak on your lips stem from and you can try to avoid them in the future.
How Is Lip Eczema Treated
If you have lip dermatitis, try to stop habits such as licking, biting or sucking your lips. You should also avoid irritants such as lip balms or lipsticks. Your healthcare provider may recommend:
- Petroleum jelly or unscented, hypoallergenic moisturizer to soothe dry, cracked lips.
- Steroid ointment to reduce inflammation.
In rare cases, people with severe lip eczema need oral steroids or a special prescription skin cream or ointment that prevents your immune system from overreacting to allergens.
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Finding Peace With Lip Eczema
Lip eczema may be thought of as a battle on kissable lips. It feels like dryness that can´t be relieved with all the lip balms in the world. In fact, eczema seems to get worse with those waxy, scented balms that actually trigger more skin to slough. That’s because their most common ingredients are lanolin, beeswax and fragrance, all identified as lip allergens. Go figure!
Using lip balms on lips to cure your dry lips is like using gasoline to put out a fire.
Basically, lip eczema is a form of dermatitis that manifests as a dry, chapped, scaly, and red appearing lips. It is a form of allergic contact dermatitis, atopy, or eczematous cheilitis . Results of a study in Spain suggest that most cases of lip eczema are atopic dermatitis, and that cosmetics and some common topical medications are the main culprits .
There is hope for those who suffer from chronic and unrelenting lip eczema. Dr. Yazdani, the creator of MatrX B, a proprietary antioxidant system, battled with how to heal eczema on lips for a decade until one day she decided to try Post-Traumatic Response Gel on her lips. After 2 weeks of twice daily use, the problem resolved permanently.
To resolve lip and mouth eczema, an important step is to avoid products that contain eczema-triggering allergens and use skin cleansing and cosmetic products that instead promote healthy skin. Naturally derived antioxidants formulated without use of common allergens can help you win the war on lip eczema.
When To See A Dermatologist For Lip Eczema
Very mild cases of lip dermatitis can be controlled with over-the-counter medications however, there are times when you need to seek professional help and medical advice from a derm for more severe cases of lip eczema.
- If you cannot get your EC under control
- OTC therapies are not helping
- It is getting worse
- It is spreading to other parts of the body
When you see a dermatologist, they are going to want to know several specific things.
- When did it start
- What treatments have you tried
- What products are you using on your face, body, and hands
- Have you ever had this before on your lips
- Have you ever had allergic reactions to anything in the past
- Family or personal history of allergies, dermatitis, hay fever, and rashes
- Family or personal history of asthma, atopic cheilitis, or atopic dermatitis
- Family or personal history of food allergies or environmental allergies
- List of prescription and OTC medications
Your dermatologist will probably do a standard series skin examination to see if there are signs of redness or rash elsewhere, which will aid in the diagnosis of your lip problem.
For example, if you have a rash behind your knees or in the inner arm crease/inner aspect of elbows or forearms/wrists or signs of scratching, you may have atopic eczema.
If your doctor is suspecting an allergic reaction, they may do a patch test or photo patch testing on you or refer you to an allergist who can do prick testing to determine which allergen is causing this problem.
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