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Suggest Treatment For Persistent Small Bumps On The Forehead

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Posted on Tue, 6 Dec 2016
Question: I have no history of rosescea, acne, or any skin disease other than minor occasional excema which comes and goes ..... it is in full remission. Out of the middle of nowhere, I moved to Arizona from NY last year and started developing small little bumps on my upper forehead which I have been told are oil bumps in my skin and to see a dermatologist. Meanwhile, a couple of weeks later, my entire face broke out bright red. If I put a simple moisturizer on it, the skin wil turn even brighter red and looks burned. I am using one simple soap and that is all. My wife thinks this can be a reaction to omega 3 fish oil or something else. I have a list of all the meds and supplements that I take. I am a 64 white male, history of recurrent choroidal melanoma which has been successfully treated, one bad case of pneumonia, and c-difficile acquired in the hospital while being treated for c-diff. Otherwise, no current medical issues. Historically, have been successfully treated for severe obesity, post-traumatic stress disorder, and major depressive disorder (see cancer history which was diagnosed twice as being six months and terminal). What do you think?
doctor
Answered by Dr. Dr. Kakkar (1 hour later)
Brief Answer:
Need more information

Detailed Answer:
Hello. Thank you for writing to us

I am dr.kakkar(dermatologist). I have gone through your query and I have noted your concern.

I would like to gather more information from you in order to be able to guide you better.

Do you also have scaling on the affected area? Does the face itch? Do you use a sunscreen?

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Kakkar (7 hours later)
Apparently I am only allowed to do this three times.

I have no scaling on the affected area. My face does not itch.
I (used) a sunscreen until this happened. Now if I put anything
but the most basic stuff on my face, it burns bright red like I have
been out in the sun at sea with no sun screen.

Given my history, I also never go in the sun despite where I live.

The local Doc here thinks this is not rosecea because it came out of nowhere,
that it is an reaction to something, asked if I took niacin (no), told me to use a soap for excema to help my face, put a steroid cream for three days on my face to get rid of the red, and then continue with the face cleaner and an excema moisturizer for the next three weeks. The products are made by Cetaphil. We went through my meds and the local doc didn't see anything that might cause this type of reaction. Says my skin will dry and flake off .... and heal. If I put anything on my face other than this - I tried - my face turns worse than XXXXXXX Trump's hair color. And it goes through my neck. Thanks, XXXX
doctor
Answered by Dr. Dr. Kakkar (17 hours later)
Brief Answer:
Possibility of Poikiloderma of Civatte

Detailed Answer:
Hi.

Limited by my ability to assess you only on an Image I would keep a possibility of Pokiloderma of Civatte which manifests as mottled redness and telangiectasis on sun exposed skin of neck and face. This condition is more common in fair skin color and is related to chronic/ cummulative sun exposure over the years

I would suggest that you use a broad spectrum sunscreen (spf 50+), throuhgout the day as well as recommed sessions of IPL for redness/ telangiectasis if it is confirmed to be poikiloderma or something similar by your local dermatologist.

Regards
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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Suggest Treatment For Persistent Small Bumps On The Forehead

Brief Answer: Need more information Detailed Answer: Hello. Thank you for writing to us I am dr.kakkar(dermatologist). I have gone through your query and I have noted your concern. I would like to gather more information from you in order to be able to guide you better. Do you also have scaling on the affected area? Does the face itch? Do you use a sunscreen? Regards