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Good evening, I am Dr Elliot. Thank you for your photos
I understood about the changes around the mouth and that you have used a topical antifungal, but what is the second issue you are referring to sorry?
Do you have a picture of the rash you get from the sun? Or is it a sensation from those symptoms rather than nothing to see as such?
Okay, no problem. So the the second problem you mention is likely to be a form of Polymorphic Light eruption. This is essentially a reaction from sunlight, this can have a response on the entire skin, not just the sun exposed areas.
The important thing is to use sun block and avoid sun exposure. Following a reaction you can use an anithistamine to see if that suppresses the reaction.
The first problem appears not to be fungal but an inflammed/dry skin (eczematous). I would have been tempted to trial a more potent steroid initially, but with the caution that this could trigger a bigger response if this was actually peri-oral dermatitis, which sounds like what has happened. Therefore I would suggest treating this with a topical antibiotic which would require a prescription from your doctor.
Does this help?
The antibiotic cream could be clindamycin or metronidazole
It may be worth re the second problem arranging some blood tests to check your IgE levels and possible allergy
Please could I ask you kindly rate my response as this is the only way we are credited for answering questions. Many thanks