[18F] Experiencing evening facial redness and chills

Patient Description

An 18-year-old female has been experiencing red and warm cheeks specifically in the evenings for a few months, accompanied by chills. The patient notes that the redness does not cause itching or pain and has not been observed before these few months. There is no fever present. The redness is confined to the cheeks and may be related to stress or consumption of spicy food, although it occurs even without recent food intake. No other symptoms such as diarrhea, wheezing, or rapid heartbeat have been mentioned.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing:

  • Rosacea: A common skin condition that causes redness and visible blood vessels in your face. It may flare up for a period of weeks to months and then diminish for a while. Rosacea can be mistaken for acne, other skin problems or natural ruddiness.

    • Treatment typically involves medications to reduce redness and inflammation, and avoiding triggers such as hot drinks, spicy foods, and stress.
  • Flushing: A temporary reddening of the skin, usually due to physical exertion, heat, or emotional stress. It is not usually a cause for concern unless it is accompanied by other symptoms.

    • Treatment is typically not necessary unless flushing is a symptom of an underlying condition.
  • Carcinoid syndrome: A group of symptoms associated with carcinoid tumors, which are small, slow-growing tumors that are usually found in the gastrointestinal system. Flushing and diarrhea are common symptoms, but this is a rare condition and is less likely given your age and symptom profile.

    • Treatment involves addressing the underlying tumors.

What you can do

  1. Try to identify any triggers that may be causing your symptoms and avoid them if possible. Common triggers include hot drinks, spicy foods, alcohol, stress, and exposure to wind or cold weather.
  2. Use a gentle cleanser and avoid products that contain alcohol or other skin irritants.
  3. Protect your skin from the sun by using a broad-spectrum sunscreen with an SPF of 30 or higher.
  4. If your symptoms persist or worsen, seek medical attention. Your doctor may recommend treatments such as topical creams, oral medications, or laser therapy.

What you should look out for

  • If you develop additional symptoms such as diarrhea, wheezing, or a rapid heartbeat, seek medical attention immediately as these could be signs of a more serious condition.
  • If your symptoms persist or worsen despite avoiding known triggers and using over-the-counter skin care products, you should see a doctor for further evaluation.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your personal circumstances. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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1 yr ago

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People Also Ask


What are common triggers for facial redness and flushing?

Common triggers for facial redness and flushing include hot drinks, spicy foods, alcohol, stress, and exposure to wind or cold weather. Identifying and avoiding these triggers can help manage symptoms.


How can I differentiate between rosacea and simple flushing?

Rosacea often involves persistent redness, visible blood vessels, and sometimes acne-like bumps, whereas simple flushing is usually temporary and related to physical exertion, heat, or emotional stress. Rosacea may require medical treatment, while flushing typically does not.


What are the treatment options for managing rosacea?

Treatment options for managing rosacea include topical creams, oral medications, laser therapy, and lifestyle changes such as avoiding known triggers and using gentle skin care products. Consulting a dermatologist can help tailor the treatment to individual needs.


When should I seek medical attention for facial redness?

You should seek medical attention if you develop additional symptoms like diarrhea, wheezing, or a rapid heartbeat, or if your facial redness persists or worsens despite avoiding triggers and using over-the-counter products. These could indicate a more serious condition requiring professional evaluation.


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