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Member Since 22 Jun 2013
Offline Last Active Mar 05 2015 02:21 PM

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Long-Term Cortisone Use Question - Will I Ever Heal? (Pics)

25 June 2014 - 04:41 PM

Hi everyone. Without going into my whole sob story, I'll lay it out there: 


I used a hydrocortisone + metro lotion on my chin daily for three years, per a derm's rx for what he said was perioral dermatitis, and upon stopping it a year ago, my skin has not returned to normal. If I use anything other than water -- even gentle, all-natural products, pure honey, or any type of oil -- I break out in perioral dermatitis bumps around my mouth, nose and eyes.


I'm at the point where I am only cleansing with water, which is not helping with the clogged pores on my chin, but I am more concerned my skin is not healing from the hydrocortisone use. As is, every day, it is red and slightly inflamed, but no dryness. I keep getting tempted to try new products that I think might help my skin heal, but I kid you not, every single thing causes my PD to flare.


Does anyone have any experience in this arena? I've read it typically takes 10-30% of the time the cortisone was used to heal, and I'm past that mark. I feel like I'm stuck in between a rock and a hard place, because "washing" with water does not alleviate the bumpy, clogged pores that are all over my chin, but cortisone use has made my skin so sensitive, it's water or nothing.


I'd really appreciate any insight. Derms keep throwing things like Elidel and some new anti-redness meds at me, but I'm more focused on actually repairing the damage that was done, if possible.


Thank you!


Pic #1 is my chin on a "good" day (minus the big zit) -- super red and inflamed. And that's when it's at its calmest in the am.

Pic #2 is a small flare up of PD, after trying honey on my face. I get the small bumps all over -- many of the small whiteheads weren't picked up by the camera. 

Please Help - 5 Months And No Diagnosis (Pic)

23 October 2013 - 09:09 AM

Edit: Attached a zoomed-in pic to better illustrate the constant whiteheads.


Hi all, it's been five months of derm visits and rxs, and I still am not sure exactly what I have. I was initially diagnosed with perioral dermatitis over 2 years ago, and my (stupid) derm gave me a lotion that contained hydrocortisone and metro. I used it for nearly two years, and it worked. Upon realizing how bad cortisone use is, I stopped it -- and my face flared dramatically. 


The flare phase has passed, but mini-eruptions have not. A more recent derm thought I might have demodex/rosacea, but ivermectrin + oral anti-parasitics did nothing. I've also tried finacea and antibiotics, to no avail. 


Here's what my condition is like: every day, I get a handful of small, fluid (not pus)-filled bumps. They appear around my mouth and nose, and to be honest, they aren't even inflamed most of the time. I can literally scratch them off (no popping needed, since they are so superficial), and while the area becomes red for a while, if I put some sulfur on it, it's back to normal the next day.


I'm washing with a black soap, which I feel at least keeps my skin healthy, but it is not preventing the small pimples (?). Has anyone heard of this? The bumps, which I get EVERY day, are never deep -- just small, whitehead-looking things that if smothered with sulfur, are almost always gone in 24 hours.


My derm seems to be puzzled and wants me to go on Accutane, and to be honest, I'm sick of dealing with this and will likely do it. I just don't like not knowing what the problem is -- what if I go on Accutane, and it doesn't knock it out? It doesnt help that the last two times I've gone in, I haven't had a fluid-filled bump to show her. 


I would really appreciate any help that can be given. I'm at my wit's end. 


*pic: if you look closely, several of those bumps have a small whitehead. Since using the soap the larger, non-whitehead bumps have diminished. All it takes is a slight scratch to pop them, and again, they are totally superficial.