Perivascular dermatitis

There are simply heaps and heaps of different skin conditions that affect human beings, perivascular dermatitis neing one of them. Some common ones have symptoms that are so similar to each other that it is difficult to know which is which. That is why it is important to see a dermatologist so that you can know the difference and be treated accordingly.

What is perivascular dermatitis?

One of the skin diseases to affect us humans is known as perivascular dermatitis. The name ‘perivascular dermatitis’ is really just a technical term for scientific purposes. Superficial perivascular dermatitis is very common and comprises a wide, complex variety of clinical conditions. Basically, it can be described as inflammation of the skin that surrounds our blood vessels. It is not really a specific disease. Perivascular lymphocytic dermatitis is an inflammation in the skin which has been infiltrated by lymphocytes, a type of white blood cells.

perivascular dermatitis

There isn’t much difference between perivascular dermatitis and other types of dermatitis really; it’s just that this one occurs near the blood vessels, caused by irritation to the skin or allergens. Any genetic factor or environmental factor can bring on a bout of perivascular dermatitis. You need to be aware of the possible risk factors and irritants. There are even certain health factors like Parkinson’s disease or HIV/Aids or congestive heart failure that can make a person more prone to perivascular dermatitis. 

Symptoms of perivascular dermatitis

When you have then what is known as perivascular dermatitis, you are going to develop a couple of symptoms. These can be:

  • Dry skin
  • Rashes
  • Flaking of skin

These will be noticed in the areas where the blood vessels are. You can experience this skin problem anywhere on your body, but the more common areas are the arms, feet, hands, and face. There are various options to treat perivascular dermatitis, some are pretty conservative and some can be more invasive.

Even though perivascular dermatitis seems to be a genetic problem, not all patients treated claim to have people in the family who have this skin problem. However, since it appears to have genetic causes, it can’t really be prevented. Between you and your dermatologist, you can find ways of managing the symptoms like the terrible itching and the inflammation. You can also try and find out what is causing you to be allergic, whether inside or outside the home.

Things like soaps, chemical products, cleansers; anything could be the cause. Just for starters, it’s a good idea to try and purchase ‘hypoallergenic’ laundry powders and soaps because these contain fewer of the harmful chemicals which can irritate the skin. Try to rinse your clothes twice when you wash them to ensure that all the detergents are well washed out.  Sometimes the inflammation and itching can take a few days to even a couple of weeks to clear up, especially if you are not sure what caused you to have an allergic reaction and you are therefore still being exposed to it.

Superficial perivascular dermatitis treatment

There are a few topical options you can try for perivascular dermatitis. These can be:

  • corticosteroids
  • selenium sulphide
  • hydrocortisone
  • zinc pyrithione
  • ketoconazole

What these will do is reduce the swelling and help with the awful itching and flaking. The worst thing to do with these is to scratch and scratch. Not only do you increase the inflammation, but you can provoke serious infection. You could get septicaemia, when the infection enters into your bloodstream.

Perivascular dermatitis

Even though perivascular dermatitis will appear and disappear like many types of skin conditions, you will never know when it will rear its ugly head again. There are some doctors who say exposing the inflamed affected parts of your body to some UBA and UVB rays stops the yeast that causes the dermatitis to grow from developing further.  But this is an argument for another day, because there are other doctors who will advise their patients to avoid being exposed to sun which can cause perivascular dermatitis to develop.

Since you can’t do anything to prevent it from occurring, it is important for you to find the best methods to control the symptoms, and especially the terrible itching. Unless you are someone who has had dermatitis such as perivascular dermatitis or similar skin conditions, you cannot possibly imagine the itching intensity and pain that comes from the inability to stop scratching.

Sometimes this can prevent people from getting a good night’s sleep or getting through their daily activities. That is why it’s so important to get the correct treatment so that you can have peace of mind and peace – you want to stop it in its tracks. For instance perivascular dermatitis with eosinophils; too many white cells will cause autoimmune symptoms and conditions. Superficial and deep perivascular dermatitis falls under inflammatory skin diseases that a dermatologist will diagnose for you. (See perivascular dermatitis pictures).

Perivascular dermatitis can be divided into four types. These are:

  • Pure perivascular dermatitis
  • Perivascular dermatitis with spongiosis.
  • Perivascular dermatitis with epidermal hyperplasia.
  • Perivasculardermatitis with hyperkeratosis

Tips to prevent perivascular dermatitis

  1. Identify what is causing it, so that you can prevent it or relieve it.
  2. Even though it sometimes feels impossible, try not to scratch the inflamed areas – you cannot afford to get the skin infected. Maybe try and occasionally put a bandage over the inflamed area to limit any exposure to irritants and scratching. Don’t cover all the time though, as this could cause even more irritation.
  3. Try and keep your skin hydrated because this can reduce the irritation. You can do this by moisturizing with the right moisturizing creams but also by avoiding extreme temperatures. Using a humidifier will also go a long way in helping. Stay away from moisturisers that irritate your skin.
  4. Cleanse your skin with cleansers made for sensitive skins. Try and make sure that your water is never too hot because this can just dry out the skin and irritate it even further. Remember to add moisturiser and later on, you could even consider applying an essential oil to the area for healing and soothing. It is important to note that essential oils should never be considered a substitute for medical care from the professionals, but it is certainly something to consider:

Perivascular dermatitis

Rose (Rosa damascene) 

  • Has therapeutic properties
  • Cooling
  • Toning effect on the vascular system
  • Treats broken capillaries when used with other effective oils and creams

Roman Chamomile (Chamomilla nobile)

  • Soothing and calming
  • Pain relieving
  • Antispasmodic properties
  • Soothes inflammation
  • Excellent for rashes, eczema, herpes, dryness, irritation, in fact, any skin condition as a result of stress

Tea Tree ( (Melaleuca alternifolia) 

  • Antiseptic for bacterial infections
  • Anti -viral and anti-fungal
  • Stimulates immune system to work effectively against infection
  1. A bath of about 10-15 minutes of warm water that has had baking soda sprinkled in it keeps your skin moisturised and soothed. Avoid temperature extremes, which can dry out skin.
  2. Apply cold compresses to skin to relieve inflammation and itching.
  3. Calamine lotion makes an excellent anti-itch cream. This can be purchased at your local store or at a chemist. Over the counter corticosteroid creams are also excellent to reduce inflammation and itching as well, usually applied twice a day to the affected areas.
  4. Taking antihistamines that you can purchase at the chemist reduces inflammation and itching. Before trying out new medication, check with your doctor because you don’t want it to interact with other medication you are taking. Visit your doctor if conditions worsen.
  5. Light therapy helps.
  6. Use prescription corticosteroids.
  7. Antibiotics keep the infection at bay.
  8. Use an inhibiter cream to help repair the skin.

Perivascular dermatitis is indeed an unpleasant disease, worsened by the fact that it can’t really be prevented if you are genetically prone to it. But don’t give up, there is always the way to get rid of the symptoms or at least keep them at bay. Simply try a verity of methods before you find the one that is perfect for you.

Sources and References

  1. NCBI – Perivascular inflammation in pulmonary infections
  2. Mayo Clinic – Types of Dermatitis