Q. I have pink rash on the side of my nose that gets worsened in sunlight. What could it be?
Hello doctor,
I have had a red/pink rash on the side of my nose for about a year and a half now. It is on the bridge of my nose. It gets better at times, but most of the time it is prominent. It also usually gets better when I am in a cool environment and worse when I am in a hot climate or in sunlight.
I used to take allergy pills every day for about two years and then I noticed the rash, so I stopped pretty much completely for about a month. It seemed to get worse and again I started taking them for another 3 months probably. It had no effect on the rash and I stopped completely and I have not taken a pill for almost three months. Does this sound like a reaction to the pill or is it something else?
The rash also burns and so I know when it flares up. The rest of my face seems to have gotten a little more inflamed but it might be my imagination. I am a 22 year old male. My height is 5'11" and I weigh 160 lbs. I have tried everything to get rid of it. Please help.
Hi,
Welcome to icliniq.com.
After carefully reading your history I came to a conclusion that there are two possibilities of your rash.
Drug reaction:
- It can mimic like anything and can remain up to 3 to 5 months and then subside as the drug gets cleared from the body.
- The symptoms which you have mentioned, that it is aggravated in presence of sunlight is going in favour of photodermatitis.
- Its persisting nature is going in favour of it.
- The presence of rash in sun exposed area is going in favour of it.
- Since you have not mentioned the other areas affected, I can just make an assumption of it being not present in relatively sun protected area like buttocks and abdomen.
- The burning nature is also going in favour of it as normal allergic reactions usually itch and do not burn.
I would advise you take Prednisolone 40 mg in tapering doses and sunscreen with at least 50 spf, thrice daily at 8 AM,11 AM AND 2 PM, with 2.5 finger tip unit (one finger tip unit is the amount of ointment expelled from a tube with a nozzle of 5 mm diameter, from the skin crease that is closest to the end of the finger, to the tip of the index finger) for at least face.
Consult a dermatologist online for further follow up --> https://www.icliniq.com/ask-a-doctor-online/dermatologist
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