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: When perioral dermatitis affects the chin and the skin next to the nose, it often looks like acne at first appearance.
But you can tell that it is not acne by noticing there are no comedones (blackheads or whiteheads).
Our most widely-read post on this blog is about a rash I had around my mouth and how I discovered what triggered it and how I finally healed it.
In most cases, perioral dermatitis responds quite well to treatment, though there are times where is recurs or becomes stubborn (like in the health care workers mentioned above).The etiology and pathogenesis is unknown according to western biomedicine.The rash of perioral dermatitis is rather distinct though it can often be misdiagnosed as eczema (atopic dermatitis), acne, allergic contact dermatitis, or even rosacea.They all claim to have had no contact with steroid creams and they appear to wear minimal amounts of makeup (if any).Perhaps there is a common chemical or cleanser they are coming into contact with that is triggering this? In each of these cases, the rash improves on days when the patient is not at work or when they are on vacation and it reappears or gets noticeably worse when they return to work.