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Is allergy testing needed for perioral dermatitis?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have personal dermatitis. I was prescribed 12 weeks of 100 mg Doxycycline. However, I am skeptical about taking antibiotics as I have read that with a lot of people the rash returns upon finishing treatment. Also, it can mess up your gut which is apparently linked to perioral dermatitis. I have gone gluten, dairy, and sugar-free, started Probiotics, Zinc, and omega-3 supplements and the rash still persists. I also use Metrogyl, it helps but my rash is still there. It is mild but very annoying and sore. If I take antibiotics, will it make things worse? Or should I go get allergy testing?

Answered by Dr. Rabia Anjum

Hi,

Welcome to icliniq.com.

You can skip Doxycycline, if you have gut problems and you cannot tolerate it. If you are suspecting that your perioral dermatitis is due to contact of any allergic material, then go for allergy testing. Otherwise, it will not benefit you. I would like to know your work. Any allergy to known material and also a picture of your lesion? You can use mild steroid preparation over it for relief.

Thank you for consulting me.

You can always reach me at icliniq.com.

Probable diagnosis

The probable diagnosis is perioral dermatitis.

Treatment plan

The following are the treatment plan: 1. Apply hydrocortisone 1 % ointment over lesions two times daily for two weeks. 2. Take an antihistamine if you have itching. 3. Rest continue with your measures.

Preventive measures

The following are the preventive measures: 1. Maintain hygiene of the area. 2. Wash with soap and water. 3. Avoid using Dettol (antiseptic lotion) and other irritants.

Regarding follow up

Follow up after two weeks with pictures.

Answered byDr. Rabia Anjum

Medically reviewed byiCliniq medical review team

Published At April 2, 2019
Reviewed AtNovember 21, 2024

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Dr. Rabia Anjum

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