I. What is facial reoccurrence dermatitis? What are the manifestations?
Facial reoccurring dermatitis is a mild erythematous scaly skin disease that occurs on the face, mostly in women aged 30 to 40.
It begins around the eyelids and gradually extends to the cheeks and front of the ears, sometimes involving the entire face, with mildly limited erythema and fine bran-like scales. Some may be mildly swollen, but no papules or blisters occur, and there is no infiltration or mossiness. The rash may occur on the neck and anterior cervical triangle, but not on the trunk and extremities. The onset of the disease is sudden, itchy, about a week after the remission, but can recur, repeated episodes can have pigmentation.
What factors are likely to cause facial reoccurrence of dermatitis?
The cause of this disease is not clear, but the following factors are likely to trigger this disease.
1. Season
Easily occurring in spring and autumn, associated with dry air and facial dehydration and reduced protectiveness.
2.Cosmetics
Most of the reports of the disease are related to cosmetics. Allergy to certain components of cosmetics, especially fragrances, pigments, preservatives, etc., can trigger the symptoms. Some cosmetics advertise “natural ingredients, no side effects”, however, plant preparations, including pollen, are likely to be allergens or photosensitive substances that cause facial “plant-sun dermatitis”-like reactions under the action of ultraviolet light. dermatitis”-like reactions on the face.
3.Pollen, dust, temperature change and light stimulation
Pollen and dust are well-known allergens, and the concentration of pollen increases dramatically in spring and autumn, which is an important reason for the onset of the disease. In addition, after the face is coated with cosmetics, mixed with dust and pollen, adhering to the skin, and then by sunlight, resulting in local changes in skin pH, and skin temperature increases so that pollen and dust are easy to dissolve, absorb and become an allergen that induces dermatitis, leading to the occurrence of the disease.
4, abuse of corticosteroids topical drugs
The majority of patients in the face after the occurrence of dermatitis, buy their own dermatoprene, skin easy ointment and other strong skin hormone topical application. As these drugs have a good anti-inflammatory effect, itching symptoms often reduce or disappear after external application, erythema and papules subside, but easy to relapse. After repeated use, facial skin flushing, capillary dilation, dry skin, roughness and other symptoms appear, turning into “hormone dependent dermatitis”.
5.Other external causes
Diet spicy stimulation, seafood or some food containing more photosensitive substances, such as: mud snail, malantoin, shepherd’s purse, horsetail, etc.
In addition to the above exogenous factors, endocrine dysfunction, habitual constipation, autonomic dysfunction, mental stress and fatigue, digestive dysfunction, vitamin B, vitamin C deficiency and anemia, etc. may also be the cause of the development of the disease. Therefore, during the consultation, some auxiliary examinations can be done appropriately to find the related causes.
How to deal with facial reoccurrence of dermatitis properly?
This disease not only affects the aesthetic appearance, but also is accompanied by itching and burning sensation on the face, so it affects the patient’s daily life. And with repeated attacks, the barrier function of the skin is destroyed, and it is easy to combine with other skin diseases such as skin allergy and sunburn, leaving pigmentation and causing chloasma. And because patients repeatedly scratch, it will cause mossy skin over time.
The skin will be thickened and rough, which will bring more influence to the appearance. Some patients who use hormone-containing topical medications on their own will easily turn into “hormone-dependent dermatitis”, which will make the future treatment more difficult. Therefore, when facial reoccurrence of dermatitis occurs, you should go to the hospital promptly. After the doctor makes a diagnosis, follow the doctor’s instructions and cooperate with the treatment. Specific treatment measures are as follows.
1. actively search for the cause of the disease and remove it.
2. stop using all existing cosmetics or glucocorticoid creams.
3.Avoiding light.
4, cold spray or wet compress therapy. Ice mineral water or saline, soak 4~6 layers of gauze and apply to the face for 20 minutes each time, 4~8 times a day.
5, the external use of hormone-free desensitizing, anti-itch, moisturizing ointment, or moisturizing repair mask.
6, oral antihistamines with few side effects, such as keratan, paracetamol, etc. can be taken.
7.Chinese medicine treatment has good efficacy.
Fourth, in daily life, how to prevent the occurrence of facial reoccurrence of dermatitis?
1. Wash your face
Wash your face after going out, without using a strong alkaline soap.
2, careful use of cosmetics
Use less cosmetics, especially not poor quality cosmetics, and try new cosmetics before using them by applying them behind the ear, without allergies.
3. Pay attention to diet
Do not eat spicy and stimulating food such as beef and mutton, do not drink alcohol, eat less food containing more photosensitive substances, eat less seafood, drink plenty of water every day, and eat more fruits and vegetables.
4.Go out and protect yourself from the sun
Do a good job of sun protection when going out, wear an umbrella or a hat, and apply appropriate sunscreen.
5.Skin care
Cold and wet compresses of physiological saline or ice mineral water, or use some medicinal moisturizers.
What are the advantages of Chinese herbal medicine in preventing and treating this disease?
Because the cause of facial reoccurring dermatitis is still unclear, so Western medicine treatment is still lack of targeted drugs, treatment to symptomatic treatment, relieve the symptoms of the main, not yet able to prevent recurrence. Chinese medicine, on the other hand, has the advantages of “seeking the root cause of the disease”, “preventing the disease before it occurs” and “preventing the disease before it occurs”. Chinese medicine believes that due to the patient’s lack of endowment, external wind-heat evil toxins, invading the muscle couples, lung and guard disorder, evil and guard wrestling in the machine surface; or internal blood heat, blood heat generates wind, skin loss of nourishment; or addicted to fat, sweet and thick taste, generating phlegm and dampness, dampness and heat, up steam on the face and the development of the disease. Treatment is based on clearing heat and dampness, cooling the blood and detoxifying the toxin, dispelling wind and relieving itching. Combined with antihistamine drugs, it can quickly relieve local symptoms, shorten the course of treatment and avoid recurrence. When the disease is not onset, Chinese herbal medicine can regulate facial qi and blood, so that qi and blood are sufficient and running smoothly, while nourishing liver and kidney, regulating endocrine and plant nerve functions, effectively reducing recurrence.