Perianal dermatitis: types, signs, treatment, prognosis and complications

August 24, 2017 23:00 | Dermatitis

The inflammatory process that affects the anus and the adjacent skin is called perianal dermatitis.The disease is accompanied by a number of very unpleasant symptoms, making daily life painful.We will tell you about the areas and treatment of perianal dermatitis in adults and children, lay out photos of patients, tell how to achieve a quick recovery.

Features disease

disease is equally inherent in both children and men, women.He has no special age features.The only difference between anal dermatitis in infants and adults is the reasons for its appearance.If a child's pathology is a consequence of inadequate hygiene, then at an older age it is already more a consequence of internal diseases, and often serious ones.

Women and men sometimes dermatitis anal region may be associated with improper diet or diet in the presence of a product, such provoking an allergic reaction.That's why the doctor can recommend adhering to a sparing diet throughout the period of therapeutic therapy.

Perianal dermatitis o

f the child( photo)


There are several types of the disease.Classification is carried out for reasons that caused perianal dermatitis:

  1. Bacterial inflammation.
  2. Fungal dermatitis( including candidiasis).
  3. Allergic appearance.Eliminate this type of disease is much easier, since it is enough just to exclude contact with the allergen.
  4. Abscessed form.It is most difficult to transfer, because after an autopsy there are purulent ulcers.Gradually, the pathology can become so complicated that fistulous moves are formed, and this will already require surgical intervention.

On the concept of perianal dermatitis tell this video:


Factors that can trigger a perianal dermatitis include:

  • hemorrhoids;
  • helminthiosis;
  • diarrhea;
  • excess weight;
  • poor hygiene;
  • unsatisfactory state of the immune system;
  • of the GI tract;
  • irritation in the anal area;
  • malignant tumors in the rectal area;
  • dysbacteriosis;
  • close underwear made of synthetics;
  • cleaning agents( eg laundry detergent).

Disease as a concomitant manifest in Crohn's disease, ulcerative colitis and other similar inflammatory diseases.If a dermatitis of this kind appeared in the child, it was due to poor hygiene or untimely diaper change.

All pathogens can be divided into bacterial, contact, fungal and allergic types.For each category, the appearance mechanism will be slightly different.

Symptoms perianal dermatitis

Symptoms appear on the skin around the anus.The following symptoms may occur:

  • edema;
  • redness;
  • pain during defecation;
  • burning;
  • itching.

In this case:

  • If the disease refers to a bacterial subtype, the signs are supplemented by the permanent formation of wet surfaces, therefore, erosions will always be covered with crusts.In addition, the risk of their infection is very high.
  • The inflammatory process with fungal pathology has wavy edges, the skin develops plaque, pustules, and scaling.For the allergic type of perianal dermatitis, the itch is more characteristic because of which the papules begin to form quickly.

Inflammation can develop into an abscess.In such cases, the abscesses constantly recur, are transformed into fistulous passages.


A proctologist or dermatologist can diagnose the problem.After consultation, the patient is sent for delivery of the material( scraping) to reveal the presence of the infection and its nature.In addition to clarify the clinical picture, other studies are also called:

  1. Colonoscopy.
  2. ultrasound.
  3. Coprogram.
  4. Scraping for the definition of helminths.
  5. Irrigoscopy.
  6. Analysis for dysbiosis.
  7. X-ray.

It is important to establish the presence or absence of dysbiosis, as well as parasites in the body.

The treatment of perianal dermatitis will be described by the video:


Therapeutic method

For best results, the doctor usually recommends combining medical treatment with complex physiotherapy.Particularly suitable for the treatment of perianal dermatitis are the following procedures:

  • ultrasound;
  • laser therapy;
  • sedentary baths with medicines;
  • magnetotherapy.

About perignal dermatitis ointment and other means for treating the disease read below.


Therapeutic measures are aimed not only at removing external symptoms inherent in perianal dermatitis, but also in preventing the disease that is its primary cause.Without this patient, relapses will often be painful.

Medicinal ointments are selected individually, but are usually resorted to:

  1. Dexpanthenol.
  2. Antihistamine ointments.
  3. Antiseptics.
  4. Zinc Ointment.
  5. Aurobin.

Supplements rectal suppository treatment with analgesic and anti-inflammatory effects.

If dermatitis is a bacterial type, treatment should include a variety of antibacterial compounds.The "Candide" and "Triderm" ointments have proved themselves well.Additionally, it is required to treat opening pustules.

Inside the reception of antiallergic agents is recommended to remove not only the itching, but also to reduce the inflammation, redness, swelling.Often, immunomodulators are selected.Antimycotics or antibacterial drugs will also be selected( depending on the etiology of dermatitis).

Traditional methods of treatment

Therapy with folk techniques usually consists of the use of anti-inflammatory herbal bath infusions.Despite the safety and small list of contraindications, before applying any prescription, it is better to consult a doctor.In some cases, not only baths, but also compresses of medicinal herbs are prohibited.For example, if you do them in the presence of pustules or abscesses, you can only achieve an aggravation of the condition.

Prepare a decoction, if the doctor approved these methods of treatment, it is possible by a standard prescription.To do this, take 1 liter of water boil and add 3 tbsp.L.Herbs.Black tea, St. John's wort, chamomile, oak bark possess the ability to relieve inflammation.

A good influence of oils of sea buckthorn and dog rose, which are recommended to lubricate areas with affected skin.

Prevention of the disease

It is possible to eliminate the probability of the disease if the following rules are observed:

  • excluding allergens from food;
  • wearing free-cut linen and made from natural fibers;
  • daily hygiene;
  • treatment of gastrointestinal pathologies.


The main complication of the disease is the likelihood of fistula formation in the perianal zone. Against the background of constant inflammation, immunity may be significantly weakened.Do not forget that the pathology that provoked dermatitis remains for a long time without appropriate treatment, which also threatens with complications.

If treatment therapy is carried out at home, and medicines are selected independently, then there is a risk of running the disease.Due to improper treatment to some medications the body will get used, therefore it will be difficult to choose the suitable preparation and recovery will take a long time.


A complete cure is possible if the treatment is directed not only at eliminating unpleasant consequences, but also treating the disease that caused the problem.

On folk methods of treating dermatitis, the video below will be told: