Perioral dermatitis is a common skin condition that primarily affects the area around the mouth. It is characterized by red rashes, papules (inflamed bumps), and sometimes pustules (fluid-filled bumps). This frustrating condition often impacts women aged 20 to 45. While its exact cause remains unknown, several factors are believed to contribute, including the overuse of topical steroids, certain skincare products, and possibly microbial imbalances. In this article, we explore whether Manuka honey, known for its medicinal properties, could potentially help manage perioral dermatitis.
Understanding Perioral Dermatitis
Perioral dermatitis typically manifests as red, flaky, or scaly rashes around the mouth, though it can also extend to the nose (perinasal) and eyes (periocular), leading to a broader diagnosis of “periorificial dermatitis.” The exact cause remains elusive, but environmental exposures, such as topical steroids and cosmetics, are strongly implicated. Some theories suggest that these factors disrupt the skin’s natural microflora, contributing to the formation of the rash. In addition, there may be an infectious component, with Candida albicans, bacteria, and Demodex mites as potential contributors.
Why Consider Manuka Honey for Perioral Dermatitis?
Manuka honey, produced from the nectar of the Manuka tree native to New Zealand, is renowned for its antibacterial, antifungal, and anti-inflammatory properties. These qualities make it an appealing option for individuals managing perioral dermatitis, particularly if a microbial component, such as Candida albicans or Demodex mites, is involved.
Although no direct studies have been conducted on Manuka honey for perioral dermatitis, research suggests its potential in managing skin conditions linked to microbial imbalances. Here’s how:
Study 1: Manuka Honey’s Fungistatic Activity
In a 2019 study, researchers investigated the antifungal activity of various honey types, including Manuka honey, against Candida albicans, a fungus that may contribute to perioral dermatitis in some individuals. While Manuka honey wasn’t the strongest antifungal performer (Agastache honey showed more potent effects), it did significantly inhibit the growth of Candida.
Researchers also found that honeys from the Leptospermum plant family, such as Manuka and tea tree honey, contain a compound called acetanisole, which may play a key role in preventing fungal growth.
Study 2: Leptospermum-Based Honeys and Antifungal Effects
A 2006 study conducted by researchers at the Westmead Institute for Medical Research and the Mazandaran University of Medical Sciences looked specifically at Leptospermum-based honeys, including Manuka. The study revealed that these honeys, particularly medical-grade products like MEDIHONEY Antibacterial Honey Barrier and Comvita Wound Care 18+, exhibited strong antifungal effects against Candida albicans. The honey’s antifungal action is enhanced by its phytochemical content, which supports skin healing and prevents microbial overgrowth.
Study 3: Comparison with Malaysian Honeys
A comparative study investigated the effectiveness of various Malaysian honeys and Manuka honey in inhibiting the growth of Candida albicans and other fungi. The findings confirmed that Manuka honey’s antifungal action is comparable, and in some cases superior, to other types of honey. The combination of high sugar content, low pH, hydrogen peroxide, and other unique compounds makes Manuka honey effective at disrupting fungal cell integrity.
Antiparasitic Role: Manuka Honey and Demodex Mites
Some research suggests that Manuka honey may also have antiparasitic effects, particularly against Demodex mites, which are naturally present on human skin but can overpopulate and contribute to skin conditions like perioral dermatitis. Though early studies show promise, more research is needed to confirm this effect.
While some honeys, like Agastache or Jarrah, may show stronger antifungal properties, Manuka honey’s balanced profile of antifungal, antibacterial, and skin-healing benefits make it a well-rounded option. It could serve as an effective adjunct therapy for managing microbial factors that might contribute to perioral dermatitis flare-ups.
How Manuka Honey Supports Skin Barrier Restoration
Beyond its antimicrobial properties, Manuka honey is celebrated for promoting skin healing and hydration, both essential for managing perioral dermatitis. Since the condition often involves a compromised skin barrier, Manuka honey can help by enhancing hydration and supporting barrier repair.
This restorative effect is especially beneficial for perioral dermatitis, as a healthy skin barrier helps prevent further irritation and microbial imbalances. By strengthening the skin’s natural defense, Manuka honey may reduce the frequency and severity of flare-ups.
Application Methods
While clinical studies are needed to confirm its efficacy, some people have found success using Manuka honey as part of their skincare routine for perioral dermatitis. Here are some suggested approaches:
- Honey Masks: Apply a thin layer of Manuka honey to clean skin, leave it on for about 15 minutes, then rinse with warm water. This method allows the honey’s antibacterial and antifungal properties to act on the skin, potentially reducing inflammation and microbial overgrowth. It’s gentle enough for daily use.
- Yogurt and Manuka Honey Mask: Mixing Manuka honey with yogurt can provide a soothing and balancing treatment for the skin. Yogurt contains probiotics that may further aid in restoring the skin’s natural balance, while the honey targets pathogenic bacteria.
- Avoiding Irritants: Along with honey treatments, it’s essential to avoid topical steroids, harsh cleansers, and chemical sunscreens, as these can aggravate the condition. Opt for mild, fragrance-free cleansers and avoid products that contain fluoride or heavy preservatives.
The Importance of Cautious Optimism
While Manuka honey offers promising antimicrobial and healing properties, it’s important to note that reactions to treatments like this can vary significantly between individuals. What works for one person may not work for another, especially since perioral dermatitis has a complex and multifaceted etiology.
Dermatologists generally recommend discontinuing topical steroids and avoiding known irritants as the first step in managing the condition. While home remedies, including Manuka honey, can be helpful, they should be considered complementary rather than primary treatments.
When to Seek Medical Help
If the symptoms of perioral dermatitis persist despite trying home remedies or discontinuing irritants, it’s crucial to consult a healthcare provider or dermatologist. In more severe cases, oral antibiotics or other prescription treatments may be necessary. While Manuka honey can support skin health, professional guidance is essential to effectively manage and resolve perioral dermatitis.
Conclusion
Manuka honey’s antifungal, antibacterial, and skin-healing properties make it a promising option for managing perioral dermatitis, particularly when microbial imbalances are suspected. Although there is no direct evidence supporting its use specifically for perioral dermatitis, its demonstrated effectiveness against fungi such as Candida albicans suggests it could play a supportive role in managing the condition. However, it’s essential to approach the use of Manuka honey with cautious optimism, as individual reactions may vary, and multiple factors are thought to contribute to the development of this condition. For persistent or severe cases, it’s always best to seek medical advice to ensure appropriate treatment.
