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  1. #11
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    I would definitely ask Dr's about what the pp suggested. It looks very similar to what my daughter had on her chin. Infected dermatitis. I think it's the same thing. She had antibiotics and steroid cream to clear it up.

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    Jodes86  (21-06-2015)

  3. #12
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    Looks bacterial to me. Will probably need oral antibiotics at this stage. Best to see a GP tomorrow morning if possible.

  4. #13
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    Looks fungal too me.

    Get some hydrozole I think that's how you spell it and a second opinion

  5. #14
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    ImageUploadedByThe Bub Hub1434926551.396461.jpg

    This is the rash this morning. Looking better after a few applications of the anti fungal cream.

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    Tamtam  (22-06-2015)

  7. #15
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    Quote Originally Posted by CMF View Post
    Have a google of perioral dermatitis.
    My 12yo has just had this. Steroid creams might make it look better for a couple of days, then it comes back with a vengeance. Any creams make it worse, especially steroids. Treatment is a 4-8 week course of a specific antibiotic. DS's took 4 weeks to clear, he has finished his AB's last week so hopefully it doesn't come back, if it does, looks like he'll need closer to the 8 weeks.
    UPDATE

    So after seeing 4 different doctors I was given the diagnosis of perioral dermatitis! You were right @CMF !
    Apparently being so young she can't have the antibiotics but I will be seeking out a dermatologist for confirmation.

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    CMF  (14-07-2015)

  9. #16
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    Quote Originally Posted by CMF View Post
    Have a google of perioral dermatitis.
    My 12yo has just had this. Steroid creams might make it look better for a couple of days, then it comes back with a vengeance. Any creams make it worse, especially steroids. Treatment is a 4-8 week course of a specific antibiotic. DS's took 4 weeks to clear, he has finished his AB's last week so hopefully it doesn't come back, if it does, looks like he'll need closer to the 8 weeks.
    That's immediately what I thought it was, my son had it, avoid steroid creams. I'd be getting a referral to a dermatologist as in my experience Gps don't know too much about it. I wouldn't be using any soap/bath product in the meantime.

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    Jodes86  (14-07-2015)

  11. #17
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    Doh! Just seen your update!

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    Jodes86  (14-07-2015)

  13. #18
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    Quote Originally Posted by Lil M View Post
    That's immediately what I thought it was, my son had it, avoid steroid creams. I'd be getting a referral to a dermatologist as in my experience Gps don't know too much about it. I wouldn't be using any soap/bath product in the meantime.
    I want hoping to avoid needing a dermatologist seeing as there are none in my area and the thought of traveling with a baby that hates the car is a nightmare haha. But seeing as it's not exactly a simple fix I will be calling tomorrow and seeing where I can get in.

    I use moo goo bath wash, it's soap free. Would this be ok to keep using? At the moment Bubs face is really dry and flaky. I have been using coconut oil to hydrate it, should I stop?

  14. #19
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    Personally I'd stop using anything but water at the moment, although most people don't have problems with moo goo ( my DS did though) or coconut oil. It's one of those skin conditions that could be caused by different things on different people unfortunately.

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    Jodes86  (17-07-2015)

  16. #20
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    Okay....so we have a long term family history of eczema and peri oral derm.

    First things first....the original diagnosis was most likely spot on, however there wasn't long enough in the treatment time for the creams to fix it AND the continuing dribble just starts it all off again. This is essentially fungal nappy rash on your babe's face.

    1. Do three or four days of a steroid and anti fungal, until the bright redness and irritation eases. Hydrozole or the canesten brand is fine. Any brand is fine. OR buy dermaid and the anti fungal separately, because as soon as the angry redness disappears you want to..

    2. Continue using the anti fungal for a week, or even more. It DEFINITELY does look like it is fungal, and using an anti fungal for just three days won't kill any spores etc. The indicator for 'fungal' is the bright edging and raised 'wet' welts, as well as a bumpy pimply look.

    3. Top it all off with a barrier cream. This is to protect the area from the dribble (in the same way barrier creams protect nappy rash) as well as help with the wet-dry flakiness and sticky feeling of the eczema. I use a cheap zinc and caster oil cream.

    Perioral derm won't respond to the above treatment fully, and will need prescription anti's and a different kind of 'steroid' but because of the risks associated with this particular treatment, this is only used after it is proven the above treatment doesn't work (6 weeks of treatment plus). It is also something that normally occurs after years of topical steroid use for managing eczema, and is frequently either with a family history of rosacea or demodex infestation, which is extremely unlikely here.

    It's really important that you are consistent with treating as above....it might take over a week to improve and you might need to continue some form of treatment (barrier cream) until the dribble eases off.

    Also keep in mind - this is a medical condition that needs medical treatment. Paw paw ointment or coconut oil isn't going to help. Keep the area clean, especially of milk, wash babe frequently and keep the area dry but moisturised with the barrier cream. Some powder in the folds of the neck could also help.

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    Jodes86  (17-07-2015)


 

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