While rosacea and dermatitis are different skin disorders, sometimes they can co-exist at the same time. Approximately 35% of people with rosacea have seborrheic dermatitis which makes for an even more sensitive skin condition.
Seborrheic dermatitis is a sub-classification of dermatitis. The skin is always sensitive with the yellow, white scales and always with a red rash. Involvement in the facial area with rosacea and seborrheic dermatitis is always tough for any medical practitioner. In treatment of the seborrheic dermatitis, the rosacea is always affected and vice versa.
Topical steroids used in the treatment of dermatitis can create steroid induced rosacea. This condition typically worsens when the steroid is stopped, which is known as steroid rebound or steroid withdrawal. In an unfortunate cycle the steroid may be reapplied to diminish the redness which only worsens the condition.
Many times topical steroids are prescribed to treat the symptoms of eczema, a skin condition characterized by itchy, red, scaly skin. They are also used for other inflammatory skin conditions such as psoriasis and dermatitis. They don't cure the conditions but can ease the symptoms. They work by reducing inflammation of the skin and thus easing the symptoms of itching, redness, and swelling that occur with these skin conditions.
Topical steroids always cause a more severe problem for the rosacea patient as the skin is thinned and after stopping the steroids, the skin is always worse. The worsening of the area is because the skin rebounds due to the withdrawal very similar to cocaine withdrawal or some other type of addiction.
Perioral Dermatitis is always located around the mouth and is most often caused by a tartar controlled toothpaste or fluoridated toothpaste. Stopping the toothpaste is the place to start for 30 days is the place to start and being careful not to have toothpaste or saliva and toothpaste to drip down or around the mouth. Also steroid use can cause perioral dermatitis when it is stopped which is often a mixture of steroid withdrawal and the wrong toothpaste. Most often young teenage girls and middle age women more frequently found to have perioral dermatitis as they are also a little less experienced in makeup removal techniques of oil based foundations that are more difficult to remove.
Some find that discontinuing the use of fluoridated or tartar control toothpaste for six months may help reduce the symptoms of perioral dermatitis.
The key to an effective treatment is to find a product which can treat the symptoms of dermatitis without aggravating or causing rosacea.