I have redness in skin especially on nose with pimples and large pores. Is this rosacea?

Question

Hello doctor,

I am just concerned about the redness on my skin, especially my nose area, it has large visible pores and does not go away. Since I have some background in health and medicine I suspected I have rosacea but I am not a physician. Can you help me with medical advice and treatment? About my skin condition back then, I thought it was just some breakouts, so I ignored it and just focused on my skincare to fight off the acne or pimples. The pimples that always appeared on my face and nose were pustules and tended to get redder when I was stressed like in school or when I had anxiety attacks. But as years passed, I was bothered because even though it does not have pimples, my skin, especially in the nose area was red but it was not painful and there were visible large pores. But Sometimes during my menstrual period, pimples will appear on my nose.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

From your history and photo (attachment removed to protect patient identity), it looks like rosacea only. But still, I want to ask a few questions to confirm the diagnosis. Do you get a burning sensation over the nose lesions on sun exposure drinking hot fluid or tea, or stress? Stop Clindamycin. I will prescribe you one gel to apply, but I need to start oral medicine also. Kindly get back to me.

I hope this helps.

Thank you.

Answer 2

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

You have erythematotelangiectatic type of rosacea, in which mainly redness occurs on the nose. And yes, rosacea tends to flare before a period known as a premenstrual flare. As you mentioned, Metronidazole is not available, the best alternative is one percent Ivermectin cream applied once daily at night for two weeks. For redness, you can apply Brimonidine gel once daily for two weeks. First, we should try to control it with topical creams only if you do not respond to these, I will advise you a short course of Doxycycline antibiotics. Always apply sunscreen. Sun protection is a must. Do not apply any harsh products on the skin.

I hope this helps.

Thank you.

Answer 3

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Yes, please take Doxycycline, it will help, and also yes, Benzoyl peroxide 2.5 % cream you can use for rosacea. Metronidazole and Ivermectin works better but Benzoyl peroxide can also work. Apply Benzoyl peroxide 2.5 gel in a very small quantity at night, and if you feel burning then stop. And always apply sunscreen, sun protection is a must. Follow up in 15 days.

I hope this helps.

Thank you.

Answer 4

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

I went through your photo, there is a lot of improvement. Now we need more improvement and maintenance treatment.

Azaelic acid cream - apply two times daily for three weeks

Tacrolimus 0.1% cream daily at night in very very small quantities for two weeks.

T zinc acetate one table daily after dinner for two weeks.

If you get brimonidine cream that is best but if you do not get it then apply Tacrolimus 0.1 cream as suggested above.

Again sun protection is must.

I hope this helps.

Thank you.

Answer 5

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Tacrolimus cream and brimonidine work wonders for redness, but as you are not getting both these creams then apply azelaic acid cream and sun protection is a must. Sunscreen is a must.

Also, take zinc tablets and start any antioxidant tablets available

I hope this helps.

Thank you.