Dermatitis oral steroids

Generally, this skin rash will not disappear without treatment and can last for years. Treatment of this face skin problem is required to eliminate it. The first treatment step is to eliminate the use of products that are suspected triggers of the rash around the mouth. Oral or topical antibiotics are used and sometimes in combination with mild corticosteroid cream application to reduce redness and inflammation of the skin. Care must be taken when using the steroidal creams because they may make the mouth rash worse. The antibiotic treatment may have to be continued for up to three months. Like antibiotic treatments for other health problems, the complete treatment needs to be fully completed to eliminate the risk of perioral dermatitis reoccurring.

Pruritus that is refractory to moisturizers and conservative measures can be treated with antihistamines or tricyclic antidepressants. Compared with the newer, nonsedating histamines, the older, sedating agents such as hydroxyzine (Atarax) and diphenhydramine (Benadryl) are more effective in controlling pruritus. 20 However, these agents can affect a child's ability to learn or an adult's ability to drive and work. 21 If drowsiness is a problem, a nonsedating antihistamine can be tried to see if it is effective. Tricyclic antidepressants such as doxepin (Sinequan) and amitriptyline (Elavil) also have an antihistaminic effect, induce sleep and reduce pruritus. 22

The doctor may suggest hospitalization simply because it may be necessary to break the cycle of chronic inflammation, or other problems that are exacerbating the illness. Frequently, five or six days of vigorous in-hospital treatment care can result in a dramatic clearing of the eczema. Food tests, allergy skin testing, and the development of an outpatient therapy plan can all be done during the hospitalization. Unfortunately, getting approval from insurers is often difficult. During an acute flare the number of 15-20 minute baths must be increased to three or four per day. Besides hydrating the skin, baths also increase the penetration of topical medication up to ten-fold if the medicine is applied immediately after the bath. Wet wraps after baths may also help hydration and medicinal penetration. Bedtime wet wraps are most practical, and can be done with elasticized gauze followed by ace bandages or double pajamas. (The first pair of pajamas is worn damp but not soaking wet, and a second pair of dry pajamas is worn over them. For a tighter fit, sometimes a plastic sauna suit is used instead of the dry pajamas.) For feet and hands, socks can be used. Additional blankets or increased room heat may be necessary during this three to seven days to prevent chilling.

Dermatitis affected about 10% of . workers in 2010, representing over 15 million workers with dermatitis. Prevalence rates were higher among females than among males, and among those with some college education or a college degree compared to those with a high school diploma or less. Workers employed in healthcare and social assistance industries and life, physical, and social science occupations had the highest rates of reported dermatitis. About 6% of dermatitis cases among . workers were attributed to work by a healthcare professional, indicating that the prevalence rate of work-related dermatitis among workers was at least %. [70]

Dermatitis oral steroids

dermatitis oral steroids

Dermatitis affected about 10% of . workers in 2010, representing over 15 million workers with dermatitis. Prevalence rates were higher among females than among males, and among those with some college education or a college degree compared to those with a high school diploma or less. Workers employed in healthcare and social assistance industries and life, physical, and social science occupations had the highest rates of reported dermatitis. About 6% of dermatitis cases among . workers were attributed to work by a healthcare professional, indicating that the prevalence rate of work-related dermatitis among workers was at least %. [70]

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