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Q. I have thick skin pads, redness, and pain when out in sunlight. What is it?

Answered by
Dr. Atishay Bukharia
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Mar 31, 2016 and last reviewed on: Dec 27, 2019

Hi doctor,

I have thick skin pads on my cheeks and the symptoms have all the hall marks of rosacea, redness, itchiness and pain in sunlight, blushing, etc. I am becoming very self-conscious of my face and wondered if there is anything I can do to reduce the symptoms. It started almost 10 to 15 years ago, but it become more aggressive now. I have not taken any medication for rosacea and it now seems to be getting worse. Please help.

#

Hi,

Welcome to icliniq.com.

  • Yes, it seems to be a manifestation of rosacea.
  • Please send good quality photographs taken in natural light to confirm the diagnosis and to provide you the proper treatment.

Revert back with the photographs to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist

Thank you doctor,

Here are the photos as requested.

#

Hi,

Welcome back to icliniq.com.

I have had a look at the photographs (attachments removed to protect patient identity).

  • Yes, you are suffering from rosacea more precisely erythematotelangiectatic rosacea.
  • The cause of it is solar damage which leads to vasomotor instability leading to erythema on face and tendency to flush easily.
  • Take the following medications :
  1. Capsule Oracea (Doxycycline) 40 mg daily one capsule.
  2. Apply Metronidazole 1% gel in night.
  3. Soolantra gel (Ivermectin), to be applied once in a day over affected area.
  4. Neutrogena advanced plus sun spectrum lotion 70, thrice daily at 8 AM, 11 AM and 2 PM on sun exposed area.
  • Avoid hot tea, coffee, spicy food and alcohol.
  • Do not go in sun without prescribed sunscreen.

Revert back after a month to a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist

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