The general goals of treatment for dermatitis involve reducing symptoms, healing the skin, and preventing exposure to irritants and allergens that cause outbreaks. Special creams and lotions that contain anti-inflammatory compounds may be used to soften and soothe the skin, and topical corticosteroids may be applied to the skin to relieve itching. However, corticosteroid-containing medications can cause skin-thinning, dilation of superficial blood vessels that leads to unsightly red spots on the skin, and abnormal skin pigmentation. There is also a risk of systemic absorption of corticosteroids, which can lead to disruption of normal physiological steroid production. Topical immunomodulators (TIMs), which are steroid-free skin medications, have been developed. These agents work by inhibiting the activation of immune substances. However, due to their potentially dangerous side effects (., lymphoma), TIMs are considered second-line treatments for dermatitis. Other therapies used for dermatitis include antihistamines, phototherapy, which uses ultraviolet radiation to suppress immune reactions, and photochemotherapy, which combines phototherapy with the administration of a light-sensitizing compound such as psoralen.
This form of dermatitis is frequently related to the use of moderate-to-potent fluorinated topical steroids on the face. Other potential triggers of this condition include inhaled steroids (such as intranasal steroid sprays for allergic rhinitis or bronchial steroid inhalers for asthma), topical tacrolimus, fluorinated toothpaste, and facial cosmetics. In some cases, no triggering factors are found. Although it is considered by some to be related to rosacea, patients usually do not have flushing and other stigmata of rosacea. This condition affects young adult women most commonly.
Your doctor may prescribe an antibiotic tablet in the tetracycline group. Doxycycline or tetracycline topical antibiotics are sometimes used in milder cases. The course of treatment is usually for six to twelve weeks. You may not notice any improvement for the first few weeks of treatment. However, there is an improvement in most cases within two months after starting antibiotic treatment. So, do persevere if an antibiotic is prescribed. The way antibiotics work in this condition is not clear. It is not a simple skin infection. However, tetracyclines and some other antibiotics have an action to reduce inflammation in addition to killing germs (bacteria) and this may be why they work.