How to manage reddish rash on my forehead and under my eyes?

Question

Hello doctor,

When I got up two days ago, I realized that something strange had happened to the rash around my eyes, but it is also developing on my forehead.

It appears to be some kind of bumps that have been very close to each other with some reddish appearance. There is no itching or discomfort from this.

What should I do?

Kindly guide me.

Answer 1

Hi,

Welcome to icliniq.com

I read your query and understand your concern.

It is great that you are concerned about your skin. Based on your symptoms, it could be an acne-like rash (acneiform eruption), with possible dermatitis. A detailed clinical examination would be required for a diagnosis.

Acne flare-ups can occur around menses, along the jawline or chin, or due to stress.

In case of naturally oily skin, topical treatment alone will not be able to manage the breakouts.

Excessive intake of sugar, excessive intake of milk and milk products, and consuming processed foods can cause inflammation in certain cases.

Over washing, scrubbing, or using any chemical can harm the skin barrier function and make breakouts worse.

The following are the treatments that I would like to recommend:

Oral Doxycycline of 100 mg taken either once or twice daily (the dose and duration should be prescribed by a physician and generally ranges from two to six weeks).
Combined oral contraceptive pills with Ethinyl estradiol and Progestin.
Spironolactone is usually prescribed once or twice daily, depending on clinical need.
These are considered when acne is clearly hormonal in nature.
Topical retinoids such as Tretinoin are applied once daily at night.
Topical Benzoyl peroxide once daily.
Topical Clindamycin may be added in selected cases.
Isotretinoin is an oral medication, not a topical one, and is reserved for severe or resistant acne. It should be taken only after proper medical supervision because of the side effects that might occur with the intake of the medicine.

Here are some skin care tips I recommend to you:

Use a good quality cleanser twice a day.
Avoid rough scrubbing and frequently changing cosmetics.
Use a non-comedogenic moisturizer.
Use sunscreen every day.

If the rash increases, becomes painful, swelling occurs, or there are signs of infection, you should seek in-person consultation with a dermatologist. The correct diagnosis will tell you whether this is acne, contact dermatitis, or something else. Consultation is needed in case you have not seen any improvement during two to four weeks.

I hope you find this information useful.

In case you have more questions, you can always ask me on iCliniq.

Thank you.