I frequently get what I can only describe as small red vesicle like papules on the upper half of my face. They sometimes itch mildly and although bright red they often look semi transparent, like a blister.
This particular type of spot never affects my beard area and isnt a problem (that im aware of) anywhere else on my body. It mainly affects the forehead hairline, crease / sides of nose and fronts on cheeks.
It seems to be associated with sweating but doesn't fluctuate obviously with the seasons.
Any ideas what this could be? I have a number of photos I would like to upload to help you see what I'm talking about.
I should add these papules usually dry up after about 5 days but sometimes they linger around for much longer.
Thanks for your fast reply.
To be honest, you haven't really told me anything I didn't already know - I know it's some kind of blockage but that doesn't really help me.
I'm already using adapalene and have been on Roaccutane yet I still get this type of pimple.
I've been told it might be pityrosporum folliculitis by a dermatologist...
If you are not able to offer further help would it be possible to relist this question and maybe another expert might be able to help me?
Thanks for getting back to me.
Can you suggest how thyroid hormone levels might bring about these types of pimples in my skin?
(For example a previous doctor suggested it might be diabetes as excess sugar could be feeding a fungus. But this came back negative, if anything my blood glucose was low...).
I've not tried any anti fungals yet no, trying to get an idea if they are worth trying or whether it is something else entirely?
Hi thanks for responding.
Never had a swab or biopsy - it is quite difficult to organise this in the UK. My GP suggested any organisms found are likely to be commensal anyway, like s.aureus or malassezia yeasts. But maybe I could ask again?...
I can tell you the lesions do not respond to mupiricon or hibiclens which suggests to me it perhaps isnt bacterial but im not sure...
Ok, thanks again for your thoughts.
These lesions absolutely do not contain any waxy / cheese like sebaceous material. I think that rules out both Milia and Molluscum...
I'm not sure how to proceed with this question now? I appreciate your time and you replied to me promptly, but I'm still no clearer on what these lesions really are.
However if you have any more suggestions I would interested to hear them...
Ok, how would I go about getting a biopsy? Would that be a punch biopsy?