What is a periorbital rash?

Eyelid dermatitis, also known as periocular dermatitis or periorbital dermatitis, presents with a scaly, erythematous eruption of the upper and/or lower eyelids and, possibly, the periorbital area [1,2]. Patients often report symptoms of itching, burning, and stinging. Swelling may be present.

What does periorbital dermatitis look like?

Perioral (periorificial) dermatitis is a red rash that circles your mouth. Your skin can be scaly, dry and flaky with swollen, inflamed bumps called papules. It is one of many types of dermatitis. Perioral dermatitis can look like acne and is often mistaken for it.

What causes periorbital eczema?

Periocular dermatitis may be caused by allergic or irritant contact dermatitis, protein contact dermatitis, secondary eczematous periocular rosacea and further skin disorders of another origin. Pathogenesis can also be multifactorial.

How do you treat periorbital dermatitis naturally?

Natural Remedies for Perioral Dermatitis

1. Apple Cider Vinegar. Apple cider vinegar has natural anti-inflammatory properties, which make it an effective treatment for relieving dermatitis.
2. Grapefruit Seed Extract. The grapefruit seed extract is an effective treatment option for a variety of purposes.
3. Aloe Vera.

What causes periorbital redness?

Clogged or malfunctioning tear glands can cause inflammation around the eyes. An obstruction of part of the heart called the superior vena cava can cause blood to build up in body parts above the heart, resulting in periorbital edema. Also called pink eye, this viral disease causes inflammation and redness of the eyes.

What is autoimmune progesterone dermatitis?

Autoimmune progesterone dermatitis is a rare cyclic premenstrual allergic reaction to progesterone produced during the luteal phase of a woman’s menstrual cycle. Patients present with a variety of conditions including erythema multiforme, eczema, urticaria, angioedema, and progesterone-induced anaphylaxis.

How can you tell the difference between perioral dermatitis and rosacea?

The spots in rosacea are usually found on the central third of the face, including on the forehead, nose and chin. The spots in perioral dermatitis are located around the mouth, around the nose and around the eyes. Rosacea will also cause flushing and redness.

How can you tell the difference between perioral dermatitis and acne?

Acne differs from perioral dermatitis as acne causes comedones whereas perioral dermatitis does not. The spots in acne also tend to be larger and deeper. There may be cysts and scars. Spots are usually on the jawline, cheeks and forehead.

How do you treat periorbital dermatitis?

Medications your doctor may prescribe to treat your condition include:

1. topical antibiotic medications, such as metronidazole (Metro gel) and erythromycin.
2. immunosuppressive creams, such as pimecrolimus or tacrolimus cream.
3. topical acne medications, such as adapalene or azelaic acid.

What vitamins are good for perioral dermatitis?

Supplements that may be worth trying: Black cumin seed oil capsules, vitamin C, zinc, B-complex and evening primrose oil. I definitely believe that diet plays a role in PD.

Why is it difficult to diagnose Periorbital dermatitis?

Periorbital dermatitis is common and frequently difficult to treat. Patients with periorbital dermatitis often suffer severely because their disease is in such a visible location. Because of the variety of clinical appearance, the differential diagnostic considerations are often difficult.

Which is a differential diagnosis of periocular dermatitis?

The differential diagnosis of periocular dermatitis includes allergic contact dermatitis, irritant contact dermatitis, airborne contact dermatitis, atopic dermatitis, psoriasis, seborrheic dermatitis, nonspecific xerotic dermatitis, rosacea, acne vulgaris, periocular cellulitis, carcinoid syndrome, and lupus erythematosus.

Which is the first line treatment for Periorbital dermatitis?

Calcineurin inhibitors are the first-line therapy for facial atopic eczema. They may be also effective in periocular eczematous lesions of other origins although they are not approved for such use. Periorbital dermatitis is a commonly occurring dermatological disorder that is often resistant to therapy.

Can a periocular rash be difficult to treat?

They can also be difficult to manage because the periorbital skin is sensitive, and there are a multitude of treatment options, with little specific guidance on their use. This practice pointer outlines the common causes of a periocular rash in an adult, and offers an approach to help diagnosis and management.