A dermatologist diagnoses perioral dermatitis by examination. No other tests are usually done. The first step in treating perioral dermatitis is to discontinue all topical steroid creams , even non-prescription hydrocortisone. Once the steroid cream is discontinued, the rash appears and feels worse for days to weeks before it starts to improve. Heavy face creams should also be stopped. One must resist the temptation to apply any of these creams to the face when this happens. Think of the face as a cream junkie that needs a "fix"- one needs to go "cold-turkey".
My itching started 10 days after giving birth to my son. my obgyn said it was not Pupp because “Pupp only occurs during prgnancy.” So I went to my family doctor and he said he had treated 3 cases of Pupp after delivery and he was sure what I had was Pupp. He prescribed prednisone for 7 days and the itch went away after day two. However 3 days after i finioshed the dosage, the itch came back. Its been two weeks since then and I am still itching. Hot compresses before bed seem to give me enough relief for me to fall asleep.
1. Moisturizers. Some people cannot tolerate any moisturizer during withdrawal – especially in certain stages of withdrawal, but here are the moisturizers many of our forum members like to use. Please spot test everything to make sure the skin can tolerate the moisturizers or soaps and remember to only try one new thing at a time. Also note that the skin may accept something for a while and then become irritated at another stage of withdrawal when the same product is applied. Most people find emollients, ointments or balms made with simple ingredients to be more comfortable than creams or lotions.