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Rash on DD's face

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#1 happygurl06

Posted 05 April 2012 - 10:20 PM

I know I'm in the wrong area but I was hoping to get the extra traffic.

DD 6 yrs has suffered from a rash around her mouth for at least 3 years.  It ebbs and flows in severity and rarely gives her any pain or itchyness.

We have seen 4 different doctors about this with one diagnosing cold sores (Zovirax and other cold sore creams made it worse) and the others suggested topical dermatitis or "a reaction to something".

We have cut out food that tend to make it go redder and use betnovate daily but it never seems to fully go away.

Fresh tomato make it so bad her lips crack, oranges, tomato sauce and pineapple seem to irritate it so none of these things are on her menu.

Hope my photo works!  Today is a bad rash day, she has eaten her usual  wheeties for breakfast, apple for a snack, ham and cheese toasted sambo, hand full of red rock deli chips and satay chicken for dinner.  She has these foods often and tends not to get a reaction.
Has anyone got any suggestions or perhaps seen similar and had good results getting rid of it?

#2 Rosiebird

Posted 05 April 2012 - 10:27 PM

It looks like perioral dermatitis, but unlike other types of dermatitis, it gets worse with steroid creams. The treatment is oral antibiotics (topical do not work as well).  You will need to see a GP (again!)

#3 michelle120773

Posted 05 April 2012 - 10:27 PM

eczema?  All of the foods you mention making it worse are foods I should avoid to minimise my eczema.

#4 Rosiebird

Posted 05 April 2012 - 10:28 PM


#5 _Alana_

Posted 05 April 2012 - 10:29 PM

My 2.5 yr old gets that than it dries out and sorta goes flakey - I blame his dummy though so I'm not sure. He has sensitive skin and always has rashes and irritations. Sorry not much help though

#6 happygurl06

Posted 05 April 2012 - 10:41 PM

Off to the GP to get a referral to a dermatologist I think!  Looked up perioral dermatitis and it looks right, poor kid! I've possibly been making it worse!

It does go dry/flaky and then light pink until it flares up again like the above picture.

Edited by happygurl06, 05 April 2012 - 10:46 PM.

#7 AlexandraI

Posted 05 April 2012 - 10:48 PM

Soy allergy? The same happens to me and that is what I have been advised to cut out. It is in cereal, bread, dressings, everything really.

#8 Rosiebird

Posted 05 April 2012 - 10:51 PM

Tetracycline is usually used for perioral dermatitis but it CAN'T be used in children, just a heads up! It causes teeth discoloration.

#9 Roo~~

Posted 05 April 2012 - 10:52 PM

I get that exact same rash and as I also have eczema was using steroid cream, which made it worse. Mine is perioral dermatitis and I have a cream now. It still comes back, often when I'm stressed but it goes quickly enough with the cream. I went to two GPs a dermatologist before I got the right diagnosis and have since found one GP who recognize it correctly.

#10 happygurl06

Posted 05 April 2012 - 11:01 PM

Alexandral- that's another possibility, she was a chcky baby (projectile) and we were advised to try soy formula..... Her first bottle came uP so fast it travelled over a meter!  Needless to say after third bottle did the same thing we went back to cows milk reflux formula.

She can also tell if I buy different bread, possibly the one she likes best has less soy????  I'll check that our too.

#11 LoT

Posted 05 April 2012 - 11:03 PM

You can try Elidel cream, this is non-steroidal.

#12 happygurl06

Posted 05 April 2012 - 11:03 PM

Thanks Rosiebird, will write it down to make sure it doesn't get prescribed if it is PD.

#13 LoT

Posted 05 April 2012 - 11:03 PM

You can try Elidel cream, this is non-steroidal.

#14 happygurl06

Posted 05 April 2012 - 11:12 PM

I'm such an idiot!!! Just read the leaflet on betnovate... Do not use on children, do not use around the mouth, do not use if breastfeeding (I apply it to DD and am feeding 4m old DS.)  This cream was prescribed only 2 months ago during my 6 week visit for DS.

#15 Franni

Posted 05 April 2012 - 11:59 PM

My Son gets a much much smaller rash that looks very similar to that, we have tried alot of different creams both prescribed by the Dr and recommended by the pharmacist. I have found that generally applying teatree oil a few times a  day is the only thing that works for him. His rash looks the same and is in the same area but as I said his is tiny really.

#16 i-candi

Posted 06 April 2012 - 10:06 AM

DD got this and a friend said it was muzzle rash (what Rosebird said). Finally booked her into the GP only to have it clear up that day. Typical, it was a Monday and they don't let you cancel appointments as they charge you and as I had a double appointment (for DS as well) I just chatted about it.

She did say if it flares up again to bring her in and they'll treat it.

DD's cleared up because we stopped using creams on it - go figure lol. Took a few months though.

#17 Flaxen

Posted 06 April 2012 - 10:23 AM

I had exact same rash and same triggers when i was young. I still have reaction to tomato, pineapple, orange and strawberries. My rash doesnt always appear the same day, sometimes up to a week later, so look back a week too for foods she's eaten. I also have issues with lactose and wheat, but those dont usually react with face rash.

Creams were best to be avoided in my case, and they are not an ideal solution being steriod based.

My issues were always compounded by acidic foods including spag bol, soft drinks and fruit juices, and various other things, particulary those high in fructose.

#18 Feral*Spikey*

Posted 06 April 2012 - 10:29 AM

I get that rash when I come in contact with something that I'm allergic to (other than penicillin, which just goes straight to anaphylaxis). I have a plant based allergy or four, and have had it on my face and legs at various points. It hurts and stings and takes ages to subside.

Have you tried a course of antihistamines when it occurs?

#19 happygurl06

Posted 06 April 2012 - 01:54 PM

We have loraped an antihistamine for when she gets welts from god knows what.... We have it nailed down to shellfish or MSG?

I'm going to write everything down and go back to the GP who seemed to take it seriously

#20 *newmum*

Posted 06 April 2012 - 09:46 PM

just a note: soy is high in glutamates i think which is a natural chemical close to MSG. tomato is also high in this. check if the foods shes eating are high in no. 621,635 and other 600 numbers as these are all msg.

#21 caesie'n'linc

Posted 06 April 2012 - 09:56 PM

My friends DD gets a rash similar to your DDs, hers is caused by certain foods (the only ones I can think of right now are eggs, strawberries and oranges, but I know there are others as well).  The other thing that triggers the same reaction on my friends DD is baby wipes and some soaps...not sure if this is something you have considered or even something you use on your child, but thought I'd mention it anyway original.gif

#22 Michelle4

Posted 06 April 2012 - 09:58 PM

My daughter used to get this rash on her hands, in between her fingers. Type of dermatitis
She rarely gets it now,  however, her rash was extremely hot, angry and itchy.
Once she started scratching,  the rash would errupt.

It always flared up after she had dairy,  especially icecream and chocolate.  
Bizarre,  it took me ages to work this out.  

WE also found the Elidon sp?? cream to work, pretty sure this can be used on the face.

good luck.

#23 mumto3princesses

Posted 07 April 2012 - 08:43 AM

I would guess it's an intolerance of some sort. Does she get other random spots even just one in other places. That's what happens to DD2 if she has dairy. (she's cow milk protein intolerant)

Whenever we did a trial she would get a rash almost exactly like that but then also say get a single spot on her tummy, another on one of her arms and another on a leg.

As pp have said Elidel cream worked well. But if she was to have dairy again it would just come back.

I suggest starting with a food diary and writing down everything she eats. Food intolerances can happen within 20mins or so or up to about 72hours later. So write down what she eats along with when the rash gets worse or more spots happen.

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