Have perioral dermatitis. Rash on the chin and nose. Prescribed with triamcinolone. Safe to use on face?
Patient: Hi, 4 years ago I had perioral dermatitis. After many trips to the dermatologist and trying many different creams it went away. Now 4 years later, I have the same rash on my chin and on the side of my nose. I cannot get a derm appointment until almost 4 months from now so I decided to go to my primary care physician today. She prescribed me triamcinolone .25% cream.  I am scared to try this because it says it should not be used on the face. The doctor said I have perioral dermatitis and still prescribed this.  Should I use this on my face? Doctor: Hi thanks for writing here.Perioral dermatitis is a papulopustular infection occurring over chin.There are many aggravating factors for it .Topical steroid application is most important causing flare up of disease.Triamcinolne is also a steroid and it is not indicated in treatment for perioral dermatitis.So better avoid it.You can apply clindamycin gel along with oral doxycycline once daily at night.Avoid cosmetics over lips and chins.I hope this can solve your query.Take care.