What could cause a circular rash beside the nose?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have a circular rash beside my nose and did not subside. I have tried antibiotics, face cream, and face wash. Nothing seems to work. It does not itch though, it burns when it is really hot.

What to do?

Please help.

Thank you.

Answered by Dr. Subhash Kashyap

Hi,

Welcome to icliniq.com.

I went through your case. I need to know the following things before arriving at a final diagnosis.

What is the total duration since it first appeared?
Is it sensitive to touch? Does it burn in sunlight?
Any similar lesion elsewhere in the body?
Is it thick on pressing?
I need a clear photo to see if the skin over it has any scale or you ever notice any scale over it?
Any variation in size or always progressing and never became normal?

Please reply to the questions.

Thank you.

Differential diagnosis

The differential diagnosis is DLE (discoid lupus erythematosus), Tinea faciei, Facial granuloma, Hansen's, PMLE (Polymorphous light eruption).

Patient's Query

Hi doctor,

Thank you for your answer.

It was there for about five months. Temperature is normal, but it feels dry. It does not burn in sunlight and no other place on my body has it. It is not thick on pressing and it has some scales like dead skin.

Please help.

Thank you.

Answered by Dr. Subhash Kashyap

Hi,

Welcome back to icliniq.com.

Thanks for the input, but you did not mention about the sensation. Follow this treatment for three weeks. Take Tablet Terbinafine 250 twice daily after meals for three weeks, Mometasone cream twice daily for 10 days only, Sertaconazole cream twice daily three weeks, and Calamine lotion thrice daily at 8, 11, and 2 o'clock. Review after three weeks.

The Probable causes

The probable cause is sun sensitivity, or fungal.

Investigations to be done

Do KOH.

Differential diagnosis

The differential diagnosis is DLE (discoid lupus erythematosus).

Preventive measures

Avoid sun.

Was this conversation helpful?

Answered by Dr. Subhash Kashyap

Medically reviewed by Dr. Vinodhini J.

April 25, 2020

February 4, 2025

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Subhash Kashyap

Dermatology

Consult this doctor

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discoid lupus erythematosus (dle)burning sensation skin rash

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