From the Guidelines
To effectively treat a reddened rash on the face caused by CPAP use, prioritize proper mask fit, daily cleaning with mild soap and water, and apply a barrier cream like CeraVe, Aquaphor, or petroleum jelly to affected areas before CPAP use. This approach is crucial as it addresses the common issue of skin irritation due to CPAP masks, as noted in studies such as 1, which mentions that common harms of CPAP treatment include skin irritation and rash. Ensuring a proper fit and using barrier creams can help mitigate these issues by reducing friction and pressure on the skin.
When dealing with an existing rash, using a low-potency hydrocortisone cream (0.5-1%) twice daily for up to 7 days can help reduce inflammation, as part of a comprehensive approach to managing CPAP-related skin irritation. It's also important to consider switching to hypoallergenic mask liners or trying different mask materials or styles if irritation persists, as interface issues are a common reason for CPAP intolerance or failure, as discussed in 1. Maintaining proper mask tension and keeping the skin clean without using harsh cleansers are also key components of managing and preventing further irritation.
Key steps to follow include:
- Ensuring the CPAP mask fits properly to prevent pressure marks and skin irritation.
- Cleaning the mask daily with mild soap and water to prevent the buildup of bacteria and other irritants.
- Applying a barrier cream to affected areas before CPAP use to reduce friction and protect the skin.
- Using a low-potency hydrocortisone cream for existing irritation, under the guidance of a healthcare provider.
- Considering alternatives such as hypoallergenic mask liners or different mask materials if irritation persists, as suggested by the findings in 1, which emphasizes the importance of choosing the right interface to conform to the patient's face, especially in cases where anatomical features may complicate CPAP use.
If the rash does not improve within a week, develops blisters, becomes painful, or shows signs of infection, it is essential to consult a healthcare provider for further guidance and treatment, as these could be indicators of more serious issues that require medical attention.
From the FDA Drug Label
Directions for itching of skin irritation, inflammation, and rashes: adults and children 2 years of age and older: apply to affected area not more than 3 to 4 times daily The proper treatment for a reddened rash on the face caused by CPAP use may involve applying a topical hydrocortisone cream to the affected area not more than 3 to 4 times daily for adults and children 2 years of age and older.
- For children under 2 years of age, it is recommended to ask a doctor.
- For children under 12 years of age, it is also recommended to ask a doctor before applying any treatment. 2
From the Research
Causes of Reddened Rash on Face from CPAP
- The reddened rash on the face caused by Continuous Positive Airway Pressure (CPAP) use can be due to various factors, including irritant contact dermatitis 3 and perioral dermatitis caused by improper use of activated oxygen in CPAP devices 4.
Treatment for Reddened Rash on Face from CPAP
- For perioral dermatitis caused by activated oxygen in CPAP devices, lengthening the time between completion of the sanitizing cycle and application of the mask to a minimum of four hours can resolve symptoms within two weeks 4.
- Corticosteroids may be prescribed, but they may provide little relief 4.
- For irritant contact dermatitis, treatment options are not specified in the available studies, but it is reported that some patients develop this condition due to the use of a CPAP nasal mask 3.
Management of CPAP-Related Side Effects
- Topical nasal steroids, such as fluticasone propionate, do not reduce CPAP-induced nasal side effects or improve CPAP compliance in unselected patients with obstructive sleep apnea syndrome (OSAS) 5.
- Factors influencing long-term CPAP use include disease severity, subjective sleepiness, and average nightly CPAP use within the first 3 months 6.
- Educational, behavioral, and technological components, as well as high-expertise cognitive-behavioral intervention, may be necessary to improve CPAP use and address related side effects 7.