Brief Answer: Contact Irritant dermatitis; apply Mometasone Detailed Answer: Hi, Welcome and thanks for posting your query to the forum. I can understand your concern for the rash over scalp and ear lobes and face since 3 days. After reading your problem I can make out the best possibility of "Contact Irritant dermatitis" or in simple words allergy to contact of Minoxidil 5% lotion (in gainhair). To explain you elaborately about the condition - Due to exposure to any irritant material such as any creams or new cosmetic product or sometimes anything coming in contact with the areas can cause the problem. So there can be initial redness and itching with mild pain sensation. As we scratch it or due to exposure to environmental factors such as sunlight, sweating dust and hot humid climate, it can get aggravated. Even in some cases sunlight itself can act as main factor causing rash. This is a quite simple problem which we see in our day to day practice and persist for only the time till the aggravating factor is present. So the most important part in your management is avoidance of the aggravating factor enumerated all above. In your case as you applied Minoxidil 5% lotion (in gainhair) which is too high of the lotion’s concentration to eb applied so it caused irritation on your facial skin with scalp and ear lobes. For the betterment kindly follow the suggestions below: 1. Stop the application of gainhair lotion and other newly used products. Avoid direct sunlight and hot – humid climate. 2. Avoid direct sunlight and hot – humid climate. 3. Stay in cool environment and avoid sweating. 4. Do not Pinch pop or squeeze or rub any area. 5. Do not use any other product or deodorants or any cosmetics over and near the affected area. 6. Do cold compression over the affected area. Take a wet towel soaked in cold water and apply it for 5-10 minutes for 3-4 times a day For the part of treatment kindly follow the suggestions below: 1. Apply plane Mometasone cream in a thin layer in morning and at night time. Apply in a very thin layer so that it should not be visible to naked eye. You can apply it for 7 days and then stop it after that. 2. Dose of wysolone to be increased to 40 mg per day for 3 days and then reduced to 20 mg next 3 days and then 10 mg for next 3 days before stopping. 3. If there is any irritation or itching is present then can take tablet “Loratadine” or "Deslotatadine" tablet by mouth up to 2-3 times also if the itching is more. I hope these information's will help you. If you have further queries I will be happy to help. "Wish you good health" Regards, Dr Sanjay Kumar Kanodia MD (Dermatology)

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