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What causes painful tender and red face?

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Posted on Mon, 30 Jun 2014
Question: I have a very red face. Some say its acme and others think its roscea. I've always had clear skin. This started a little over a year ago. I want it to go away. It has now become painful, hot, and tender. I can't stand it anymore. What can I do or go see to make it go away.
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Answered by Dr. Ivo Ditah (47 minutes later)
Brief Answer:
PLease, see a dermatologist!

Detailed Answer:
Hi and thank you so much for this query.

I am so sorry to hear about this red face you have reported. Issues with the face are always very sensitive and need proper diagnosis and management seen the great esthetic value of the face.

I have reviewed the image and the information together. Your face looks very red and with the pains you have reported, I would want to think there is some sort of superficial infection associated to the underlying problem that needs to be addressed. This rash could be acne, rosacea or some other thing. My immediate thoughts would have been super infected acne before rosacea seen the distribution. Rosacea is mostly concentrated on the nose in most cases. However, I will also like to ask that this be considered for lupus related rash.

This is a difficult call to make. it would be best to follow up with a dermatologist who would make a plan and follow up with you. When a disease is not typical, a trial of treatment ay be necessary. Should you be well treated for acne with no improvement, switching to other possible causes or following up with more investigations would be helpful.

In all, this rash is not typical. I recommend you contact a dermatologist and follow up closely for a plan that can be evaluated and adjusted depending on the progress and treatment response.

I hope this helps. I wish you well. Thank you so much for using our services and do feel free to ask for more information and clarifications should need be.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ivo Ditah (50 minutes later)
Thank you so much. My mom had the same thought that it was an infection and a friend of mine suggested that it might be related to lupus rash. Thankfully she has offered to pay for my treatment. (My mom offered). I have been wearing make up to cover the worst of it. So my question is do I go to the dermatologist wearing the makeup or not? I never used to wear it before but now I feel like an ugly freak if I leave the house without it. I want the dermatologist to see what u saw but I don't want to go out in public like this.
doctor
Answered by Dr. Ivo Ditah (16 minutes later)
Brief Answer:
Take the picture along.....

Detailed Answer:
Hi and thank you so much for following up with me.

I will suggest you take the picture along. Also, you may leave the house with the make up one but make sure you cleanse everything in the restroom before showing up for your appointment. it will not he helpful to go to a dermatologist and not let him/her see the exact nature of your problem.

I understand what a blow this must have been to your self confidence. Feel comfortable with it and know you matter most to yourself and not others and if you can see the real you, that's what matters.

I wish you well. Let me know what comes out of your visit.
Hi to your mom for accepting to pay the bills. What a lovely mom.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ivo Ditah (1 hour later)
Thanks. That is a great idea. I will do that. And yes my mom is great. I will also let you know what happens. I finally found a dermatologist that can help me. I will call her about 8 hours. And make an appointment. There is one other question I have and it has nothing to do with my face. For about 8 months now. When I get up I either get really dizzy or I go blind for about 40 seconds along with feeling lightheaded. And then it goes away. I also have severe muscle pain and my legs and arms feel weak. Sometimes I pass out. Then about 4 hours later it all goes away and I'm completely fine. The two times I went to the ER for it the doctor said both times my blood pressure was so low that she was surprised I wasn't dead. Do have any idea what I might have?
I have a doctor but I have to make an appointment 2 months in advance.
doctor
Answered by Dr. Ivo Ditah (6 hours later)
Brief Answer:
Probably orthostatic hypotension!

Detailed Answer:
From the information you have provided, I am afraid you may be having episodes of orthostatic hypotension. This is to ay the blood pressure drops very low especially when you switch from a lying position to an upright position. The most common cause of this is dehydration.

However, orthostatic hypotension would not persist al the way to the ER where your blood pressure can be measured and detected. What I will suggest is that you need to drink more fluids than you currently do. Low blood pressure is first a problem of fluids balance.. There are other causes like adrenal gland failure but this will not produce episodic hypotension but rather a continued state of low blood pressure.

For now, drink much water to compensate for losses. Transition from the sitting to an upright positing gradually.

I hope this helps. I wish you well. Let me know if this is clear to you or there is something more that you want us to talk about at this time.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Ivo Ditah

Internal Medicine Specialist

Practicing since :2002

Answered : 3993 Questions

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What causes painful tender and red face?

Brief Answer: PLease, see a dermatologist! Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about this red face you have reported. Issues with the face are always very sensitive and need proper diagnosis and management seen the great esthetic value of the face. I have reviewed the image and the information together. Your face looks very red and with the pains you have reported, I would want to think there is some sort of superficial infection associated to the underlying problem that needs to be addressed. This rash could be acne, rosacea or some other thing. My immediate thoughts would have been super infected acne before rosacea seen the distribution. Rosacea is mostly concentrated on the nose in most cases. However, I will also like to ask that this be considered for lupus related rash. This is a difficult call to make. it would be best to follow up with a dermatologist who would make a plan and follow up with you. When a disease is not typical, a trial of treatment ay be necessary. Should you be well treated for acne with no improvement, switching to other possible causes or following up with more investigations would be helpful. In all, this rash is not typical. I recommend you contact a dermatologist and follow up closely for a plan that can be evaluated and adjusted depending on the progress and treatment response. I hope this helps. I wish you well. Thank you so much for using our services and do feel free to ask for more information and clarifications should need be.