Dermatitis reaction to zinc oxide - afraid to use vaseline now because of common ingredient

2022.01.27 09:07 oliveoilapplesauce Dermatitis reaction to zinc oxide - afraid to use vaseline now because of common ingredient

Hi - y'all have been so helpful to me recently as I try to navigate this. I am almost out of the woods here but I have a question:
So last month around Christmas my dermatologist recommended I use a zinc oxide cream around my anus (post steroid use for a case of irritant dermatitis from a wet wipe). The zinc oxide cream made me break out much worse in what seemed to be an allergic dermatitis reaction (as the dermatologist had put it). It appeared on the area of application just a day after applying.
We got it under control with a steroid cream, and thought we'd be good, but I relapsed. My dermatologist feels that I need some support to help repair my skin barrier so told me to use just plain vaseline, as I mentioned I was concerned about an adverse reaction. I looked up the ingredients to my cvs brand zinc oxide cream though and found that one of the primary ingredients is "white petrolatum" - the same substance the vaseline is! Unfortunately I don't know which ingredient in the zinc oxide cream made me break out - whether it was the zinc oxide, the white petrolatum, or the mineral oils.
The dermatologist said the vaseline should be safe as it's just one ingredient and very "pure", but as it is only one of 3 ingredients in the zinc oxide cream I used I'm afraid of rolling the dice here.
I am now afraid to apply the vaseline to my anus as I am scared I will have another episode of dermatitis. I'd read about patch testing - I have applied little patches of the vaseline to the skin on my left arm to see if I will break out. So far I've only had it on for 5 hours or so...
Any insight into an issue like this? My dermatologist were surprised I reacted negatively to the zinc cream, but that definitively seemed to be the case. Is 24 hours long enough to get a feel for the patch testing? I see my dermatologist on friday and on one hand i'm afraid to apply the vaseline but on the other if i break out at least i have an appt lined up. Thoughts? Help? Thanks for your time!
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