Hi..thank you for the information and upload the images for my better understanding. I feel this is Rosacea. The other close differential diagnosis is Cholinergic Urticaria.
Rosacea is a skin condition that causes redness and raised, red bumps on the cheeks, nose, chin, forehead, or eyelids.
Rosacea is a long-term condition that can get worse over time. Rosacea happens most often in adults ages 30 to 60.
Rosacea affects the cheeks, nose, chin, forehead, or eyelids.
- Blushing easily
- Raised, red bumps with or without pus in them – Bumps from rosacea can sometimes look like acne, but they aren't acne.
- Tiny, swollen blood vessels on the skin (called "telangiectasias")
- A burning or gritty feeling in the eyes
- A red, swollen, and rounded nose
Sometimes, people's symptoms are under control. Other times, symptoms worsen and flare up. There are some things that might make redness on the face worse.
- Eating hot or spicy foods, or drinking hot drinks
- Drinking alcohol
- Being too hot or cold
- Stress and other strong emotions
Treatment for rosacea has 2 parts. The treatments do not cure rosacea, but they help control symptoms and prevent flare-ups.
●Medicines – The medicines can come as gels, creams, or lotions that go on your skin, or as pills that you swallow. You will likely need to take or use medicines for a long time.
●Lifestyle changes –
•Avoid the common triggers listed above and any other triggers that you know worsen your symptoms
•Use mild, unscented face cleansers to wash your face
•Wear sunscreen every day
•Avoid using products on your face with alcohol, acid, or other ingredients that could bother your skin
Prescription drugs for rosacea include:
- Topical drugs that reduce redness. For mild to moderate rosacea, your doctor may prescribe a cream or gel that you apply to the affected skin. Brimonidine (Mirvaso) and oxymetazoline (Rhofade) reduce redness by constricting blood vessels. You may see results within 12 hours after use. The effect on the blood vessels is temporary, so the medication needs to be applied regularly to maintain improvements.
Other topical products have less effect on the redness but help control the pimples of mild rosacea. These drugs include azelaic acid (Azelex, Finacea), metronidazole (Metrogel, Noritate, others) and ivermectin (Soolantra). With azelaic acid and metronidazole, noticeable improvements generally don't appear for two to six weeks. Ivermectin may take even longer to improve skin, but it results in a longer remission than does metronidazole.
- Oral antibiotics. Your doctor may prescribe an oral antibiotic such as doxycycline (Oracea, others) for moderate to severe rosacea with bumps and pimples.
- Oral acne drug. If you have severe rosacea that doesn't respond to other therapies, your doctor may suggest isotretinoin (Amnesteem, Claravis, others). It's a powerful oral acne drug that also helps clear up acnelike lesions of rosacea. Don't use this drug during pregnancy as it can cause serious birth defects.
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