Facial dermatitis and treatment thoughts

  There are many clinical types of facial dermatitis, such as seasonal contact allergic dermatitis, facial reoccurring dermatitis, seborrheic dermatitis, rosacea-like dermatitis, and cosmetic dermatitis, some of which are allergy-related and some of which are not.  However, most facial dermatitis has a history of repeated inappropriate topical hormone use, so many patients may also have hormone-dependent dermatitis, making treatment more difficult. Although hormones have anti-allergic and anti-inflammatory effects, they have inflammatory effects when applied inappropriately over a long period of time. Therefore, for recurrent dermatitis and erythema of the face, the first step should be to clarify the diagnosis, find the cause and avoid it as much as possible.  In principle, the treatment should avoid skin irritation, gradually withdraw topical hormones and replace them with other non-hormonal drugs, and take appropriate oral antihistamines or non-specific anti-allergic drugs such as intravenous calcium gluconate and high doses of vitamin C and sodium thiosulfate. In the acute stage, cold wet compresses with saline can be used, and in chronic cases, tacrolimus, and various moisturizers, medical skin care products, etc. For patients with heavy rash or long duration and poor treatment effect, internal small doses of hormone can also be chosen to maintain the gradual reduction of treatment.