I actually had my first ever flare up of perioral dermatitis around my nose about 6 months ago. Been Paleo for nearly a year now and have no idea why it's come about when my previous diet and skincare regime was very much based around commercial stuff and all that's not good for you
So I've got dry, red, little bumps that create flaky skin around the crease of my nose. Not a good look. Anyway, I discontinued use of all commerical skin products about 8-9 months ago and have since, been using only a combination of jojoba, coconut and rosehip oil to moisturize. the rest of my skin has never been softer and better!! I also apply paw paw during the day to stop the flaking and sooth the dry feeling. I have also tried a regime of washing with baking soda and applying ACV with no success. Even tried applying kefir topically thinking it could combat it if it's some fungal skin infection!
Obviously steriod creams and chemical laden stuff is off the menu as I've read plenty on the net that they don't even work.
So my friends, got any ideas, magical potions and cures, or personal experience on the matter? Reckon some sort of microdermabrasion treatment would help? I'm getting pretty desperate hey...
UPDATE *after 2 weeks*: Seeing some slight improvements! Have been taking 4-5grams L-Glutamine x2 daily. Have made a huge effort to not aggravate my skin and touch it etc. No makeup on it for the last week as well which has been a big hurdle to jump (as I'm sure my fellow females will understand) but no doubt has a HUGE impact on the rate of healing. Have less flaking and redness although some small little bumps are noticable around the general perioral area still. But it's early days still and this progress is definately the most I've seen! Am off overseas for 10 days so it'll be challenging to keep the paleo diet in fine tune but will be making the best choices I can. Will continue supplementing.
Well, about 5 weeks ago my PD took a REALLY bad turn. I have no idea what spurred the flare up. My guess would be stress because my diet didn't change that significantly. I could waste my time speculating but I'll never be sure because it's such a fickle 'disease' and from my extensive research it's clear that it can come about out of no where and the root cause seems to be different from person to person, along with what works and what doesn't. So after I suffered a week from painful open wounds around my nose which began to affect me emotionally & cause sleep problems (yes, the skin had actually broken and was 'weeping' ... yucky) I went to the doctor and she put me on a 2 week cycle of Erythromycin. Prior to taking the antibiotics, I had been treating the open sores and skin with high grade manuka honey which soothed and helped to heal them within 3 days. I then went on the antibiotics. I admit, it was my pride more than anything that took the batting here. But within 3 days the skin was CLEARLY beginning to heal and within a week it was almost completely healed!!! At the end of the course... ZIP, ZAP, GONE! No nasty redness, pumps or scaling to be seen and my nose is now 99% normal. (It can get dry when I'm inside the office all day).
I'm determined to make this doesn't happen again. Just to share, what I've found to help promote healthy skin and will hopefully help keep me problem free in the future (basically doing the opposite of what I was doing before the onset of my PD!!):
Anyway, I encourage those who suffer from this to just do what you feel is right considering your circumstances. If it's compromising your mental/emotional health, it's not worth letting your pride get in the way of healing like in my case. I'll admit, I wanted to heal this naturally but I had no idea what I was trying to 'cure' here. The way it came about had left me clueless as to what the root cause could have been. It was most likely a number of things. So there you go. That's my contribution and I wish you well if you are struggling with this!
Oh my god, I had perioral dermatitis for the better part of an entire year. AND I was dealing with angular cheleitis, or however you spell it. Oh god, it was hell. I was hideously self-conscious of my skin. It was around my mouth, chin and nose.
I used ACV, hydrogen peroxide, emu oil, oil of oregano, tea tree oil. All EXTERNAL 'fixes' and NONE OF IT WORKED.
I started a food journal and meticulously kept track of what made my skin in those areas tingle. Coffee was one, so I cut it out. I realized wheat was definitely a problem, so I cut it out. THAT'S when the biggest changes started coming. I cut out sugar, anything containing yeast, fruit, starch. I was convinced I had candida. But candida is a symptom of a bigger problem, mainly hormones and adrenal fatigue. That's for another post :)
Coconut oil is great for applying on your skin before bed. Use a very light cleanser, like Cetaphil, Spectro Jel or something similar. Be gentle. I also found cleansing your skin with HONEY, is absolutely amazing. It leaves your skin incredibly soft and glowing. GLOWING! I did use baking soda as a cleanser, and here's my theory: baking soda is said to clean fungus off fruits/vegetables, so it's recommended to wash 'em in a solution of baking soda and water. I looked at this dermatitis as a form of fungus. I mixed a small amount of baking soda into some Spectro Jel and very gently scrubbed. Lemme tell ya: IT BURNED. I figured it was working. It really did help with the flakiness. Then I would apply coconut oil, or emu oil, or shea butter.
Your skin is like a third kidney. It's filtering out what's wrong with you on the inside. It's gut related, I can assure you.
So, what did I do to heal my dermatitis? In a month? Yes, a month. You see, by this time, it was about 50 - 60% healed.
L-glutamine to the rescue! It's an amino acid that lines your intestines. I was taking an upwards of 20 GRAMS A DAY. I had AWFUL abdominal cramping, gas, bloating. Oh my god, I felt like my gallbladder was back and I was having an intense attack. I nearly went to the ER. Thankfully, I remembered "child's pose" (yoga position) and got into that. After a few minutes, and a couple of belches, the pain stopped, gas was relieved. DO NOT take too much l-glutamine, or you will suffer greatly!
NOW Foods is my favourite for brands. You can find them in 500mg or 1000mg capsules. I took 'em first thing in the morning on an empty stomach and didn't eat for at least 30 minutes to an hour. My morning dose was about 5000mg or 5 grams. I would take more later in the day, again on an empty stomach. My skin tingled, but in a good way. L-glutamine in powder form is nice too, if you don't like to take pills all the damn time.
I'm back to taking l-glutamine to continue healing my gut, and heal my food intolerances. I'm way too stubborn to go on GAPS. It's far too restrictive.
L-glutamine is a fucking miracle worker. A month. My skin was BEAUTIFUL AND CLEAR for the first time in almost a year.
I'm happy to help anyone dealing with this disgusting, foul skin condition. I cannot adequately put in to words how dismal my outlook was, how awful I felt when I looked in the mirror. I never covered it up with makeup, as I knew that would only aggravate it. I'm vain as hell and it was RUINING my self-esteem, my confidence. I was overjoyed, absolutely ecstatic and completely over the moon when I finally found out about l-glutamine.
A MONTH! I tell you. L-glutamine. She's my best friend EVAR.
I'm four months into Paleo and developed PD (confirmed by a dermotologist). This can't just be a coincidence, right? Could it be low carb? Too much protein (vs. my old diet)? I can't for the life of me figure out what this would start after going Paleo (I had fantastic skin prior to changing my diet, which I did to help me overcome Asthma). So while Paleo has done wonders for my Asthma, it appears to have destroyed my skin.
I'm hesitant to go back to my old way of eating for sure, but my skin has been flaking and peeling for weeks now. I will check on the supplements I take as I didn't take many supplements pre Paleo, that's an interesting thought...
But why would things get worse after starting Paleo for so many of us?
Thanks to PrimalPat's advice, I added potatos and am eating less protein. The rash is still there, but it's finally subsiding a little bit! I really think she's onto something... at first I had this "I must not be doing something right with following the Paleo diet" attitude, but my first clue something was amiss was my excessive weight loss. I have a small frame anyway, but I've completely lot my boobs, I'm now noticably underweight by anyone's definition. I'm starting to lose muscle. I tried eating more fat, more protein, but even though I initially felt amazing on Paleo, months later I felt weak and obviously now have this terrible face rash/itchy eyes. Adding in carbs has already helped. I theorize that Paleo did help me eliminate foods (e.g. gluten, diary) I was sensitive to, but my body needs more carbs than I was getting by following a typical Paleo way of eating. Onto a modified Paleo regime on my quest for better health!
Took a turn for the worst, so ended up going on Doxy. I'm on day 4 and my skin is pretty much 100% cleared up (only slight flaking in a few spots). I went from the most frightening PD images you've seen on the web to clear skin in no time with antibiotics. So if you're suffering, I say restore your self esteem and go for the antibiotics. And likely you need to eat more carbs. (Paleo without rice or potatoes has given me acid reflux I'm still struggling with -- never had it or any skin problems prior to Paleo).
Oh man, can I sympathize. I also abandoned commercial products about 9 months ago and adopted a paleo lifestyle about a year ago and everything is coming up roses.... except this scaly, flaky, permanently red thing with little white bumps in the crease of one nostril. Now it seems to have spread to the other nostril and I also have it on the sides of either side of my chin. Terrific.
I have hypothesized and disregarded the following theories about what this was before realizing it was perioral dermatitis: regular acne, rosacea, fructose intolerance, salicylate sensitivity (actually I do think I have this right now and have benefited from a low-sal diet everywhere except the skin), nightshade sensitivity, stress, vitamin d deficiency, mint allergy, casein allergy, blah blah blah. Been using all natural remedies for a year and nothing has changed this.
I have tried: no face washing, oil cleansing method, using coconut oil, jojoba oil, grapeseed oil, almond oil as moisturizers, no moisturizers, commercial moisturizers, low salicylate moisturizers, eating .5 lb / 1 lb / 1.5 lb liver per week, eating oysters every week, eating three oysters every day, eating tons of fermented foods, taking BioKult, backing off fermented foods and then slowly reintroducing them, evening primrose oil, borage seed oil, chromium, vitamin C, taking spoonfuls of coconut oil, eating a pound of salmon per week, taking high doses of vitamin D, taking fermented cod liver oil, incorporating two to three raw egg yolks every day, eating two brazil nuts every day, eating tons of leafy greens, autoimmune paleo, no nightshades, low salicylates, low FODMAPS, semi-pretend-working-persons-GAPs, yoga, changing my pillowcase every night, dead sea masks, kefir masks, nutmeg masks, honey masks, baking soda masks, sugar scrubs, tea tree oil...... and of course, 100 % clean paleo diet...you get the point. None of it works. Some times my nose thing is less terrible than other times but mostly it looks pretty grim. I use a mineral powder to cover it but I think it does a crappy job and I probably shouldn't even bother.
Sadly, I have nothing to offer as the solution, though I did just order some L glutamine (gracias, Pat). I agree with Pat - GAPS is too intense for me at this stage in my life. I will report back if the L glutamine helps. Actually, if the L-Glutamine works, you will know because I will hire a mariachi band to play in the house of every paleohacker and I will throw a parade.
I am getting married in five months and it would be really nice if I wasn't disfigured. Thanks for asking this question and I hope you find an answer.
I suffered for 2 years from perioral dermatitis with little or no relief from creams and antibiotic. I finally spoke to my holistic Obgyn and she said it was yeast. I began Diflucan and a vaginal supository, changed my diet, started probiotics, and completely changed my bath and body products and in 3 day my rash was gone! I have read blog after blog trying to fight perioral dermatitis and I want to go back and tell women everywhere to treat themselves for yeast! I have had doctors and dermatologist simply ignore my questions and comments about yeast being the problem, but it was yeast all along. And I didn't even know I had a vaginal yeast infection. Do dome research on treating yeast. Good luck everyone.
If you use any products that have sls (sodium laureth sulfate) in them, you could be allergic. I stopped using any product (toothpaste, shampoo, conditioner, moisturizer, etc.) with this in it...and boom! (I use only organic, all natural products now...) Everything's back to normal. I think eating such a clean diet but continuing to put bad things on your skin is what the issue is. Try it out and see for yourself.
WTF? Pardon my french, but where is all this perioral dermatitis coming from? I too was eating Paleo for about 8 months when this started. I'm excited to learn about the l-glutamine, which - coincidentally - I was just adding to my regimen anyway. But is this coincidental? Or could it be somehow related to the Paleo WoE and maybe the gut healing process? I don't really expect answers, but it sure is a thought-provoking question. To me, anyway. :D Thanks to all who posted here.
My skin issues erupted not long after my gallbladder and appendix were removed. From what I've read since then, the appendix also houses some flora. Now top that off with a compromised digestion system sans gallbladder, and I think my gut just freaked the fuck OUT.
That's my theory. I could be wrong. Since l-glut did the trick, who KNOWS what really caused all of this.
Well hot dog this is exciting. I have the same issue. Mine seems to be mild.. and intermittent. It started last winter when I was doing a lot of outdoor running. Silly me, I just kept thinking it was aggravated dry skin because of the weather and just kept covering it with makeup. Over the summer it more or less went away.. but it has come back in the last few months.
I have come to the same conclusion that it is gut related. I started a supp with L-Glut about 6 days ago and no real change yet.. we shall see. I am thinking since it was better in the summer... likely because I was tan.. I wonder if getting some sun (in a tanning bed) would help?
Maybe one day I will get back that clear skin that I used to love and never have to cover with makeup. I used to scoff at foundation wearers. Sigh.. karma is indeed a bitch.
(Adding this as a second answer since it is too long as a comment)
I tried and am still trying the L-Glut but my face has taken a turn for the way, way, way worse. I completely agree that there is a gut connection but after a year of trying to eat perfectly, I am going to focus again on the topical stuff (while still eating very clean). I know that the root cause of THAT is gut issues, but I am working on that. I have been taking the L Glut for a few weeks and did notice a slight improvement at first but I can't really tell now.
I, very foolishly, bought Nature's Gate Oh What A Night Walnut Therapy moisturizer after reading some rave reviews about it. I was not as vigilant about the ingredients and after using it once, my face went bananas. The redness is very pronounced, all the little bumps became horribly infected and the lymph nodes all under my jaw and even along my mouth are painfully and hugely inflamed. WHAT THE HELL?! I checked on the Environmental Working Group's cosmetic page and this moisturizer has a bad rating.
I ordered some grapefruit seed extract to take orally and apply topically. It seems like the online reviews for this are really positive and I really hope it can help things along. I also bought jugs of distilled water to wash my face with and drink, since it seems like fluoride is a huge trigger and my water filter doesn't remove fluoride.
I am so depressed about this. I am not vain. I don't care about being super beautiful, I just don't want people to stare at me for looking all circus faced.
I will update if the GSE helps....
I've been ashamed to post this, but I defected and went to the dermatologist. I have been obsessively trying every imaginable hack for the last year and a half (and other natural acne remedies for years before that). It wasn't working and I was developing a very unhealthy sense of failure that I was doing something wrong and was bringing this on myself. Not to mention, I have some scars. I caved in and went to the dermatologist. I was really surprised because she said she thought this strange perioral dermatitis / rosacea thing I have is just acne - and that even if it isn't, the treatment could improve it. I fought her on it, but she spent an hour with me going over my entire history and concerns about treatment, so I am going to go out on a limb and trust her a little bit. This is the part I am so embarrassed about: she put me on a very low dose of antibiotics called Oracea (apparently controls inflammation without getting into the antibacterial part much) and Retin-A. I am an antibiotics person!! I am not proud. But, it has been a week and this is clearing up FAST. The stubborn spots on my chin are flaking pretty heavily but it is like that scene from The Craft where they peel the scars off.
I am going to abandon the antibiotics as soon as it is under control and just use the Retin-A. I have researched the ever living hell out of it and I am comfortable with that. And honestly, I think the trade off of the stress and sense of failure and embarrassment I feel every day because of my face is worse than the topical meds.
Anyway, I felt the need to confess that I am a dirty conventional medicine follower for this one thing. Please don't judge!