[21F] Experiencing facial flushing, dry skin, and other systemic symptoms

Patient Description

A 21-year-old female presents with a long-standing history of facial flushing, specifically bright red cheeks and dry skin, which she describes as looking like she's been slapped. The redness is localized to her cheeks and has been present for years without any known triggers. She also reports sensitivity to sunlight, muscle weakness, and hair loss. Additionally, the patient has a history of high blood pressure, rapid heart rate, headaches, and anxiety, with an onset at 11 years of age. She is currently taking birth control pills to manage severe periods and has a family history of thyroid disease. The patient does not have any known drug allergies, but reports that some medications are ineffective for her. No rash, joint pains, acne-like pimples, or visible blood vessels are reported in the areas of redness.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possibilities:

  • Rosacea: This is a common skin condition that causes redness and visible blood vessels in your face. It may also produce small, red, pus-filled bumps. The signs and symptoms 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 alcohol.
  • Lupus: This is an autoimmune disease, which means that your immune system attacks healthy cells by mistake. Lupus can affect the skin, joints, kidneys, heart, lungs, blood cells, and brain. Symptoms include fatigue, joint pain, rash, and fever. The rash often appears on the face, in a shape similar to the wings of a butterfly.

    • Treatment usually involves medications to reduce inflammation and suppress the immune system.
  • Hypothyroidism: This is a condition in which your thyroid gland doesn't produce enough of certain crucial hormones. Hypothyroidism may not cause noticeable symptoms in the early stages. Over time, untreated hypothyroidism can cause a number of health problems, such as obesity, joint pain, infertility and heart disease. Symptoms include fatigue, increased sensitivity to cold, constipation, dry skin, weight gain, puffy face, hoarseness, muscle weakness, elevated blood cholesterol level, muscle aches, tenderness and stiffness, pain, stiffness or swelling in your joints, heavier than normal or irregular menstrual periods, thinning hair, slowed heart rate, depression and impaired memory.

    • Treatment usually involves daily use of the synthetic thyroid hormone levothyroxine.

What you can do

  1. Consult a healthcare professional: Given the range of symptoms you're experiencing, it's important to consult a healthcare professional who can provide a comprehensive evaluation and appropriate diagnostic tests.

  2. Keep a symptom diary: This can help you and your healthcare provider identify patterns and triggers for your symptoms.

  3. Maintain a healthy lifestyle: Regular exercise, a balanced diet, and adequate sleep can help manage your symptoms and improve your overall health.

What you should look out for

  • Worsening of your symptoms
  • New symptoms
  • Symptoms that interfere with your daily activities or cause distress

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

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10 mo ago

People Also Ask


What are the common symptoms of rosacea and how is it treated?

Rosacea commonly causes facial redness, visible blood vessels, and sometimes small, red, pus-filled bumps. Treatment often involves medications to reduce redness and inflammation, and avoiding known triggers like hot drinks, spicy foods, and alcohol.


How can lupus affect the body and what are its typical symptoms?

Lupus is an autoimmune disease that can affect the skin, joints, kidneys, heart, lungs, blood cells, and brain. Typical symptoms include fatigue, joint pain, rash (often a butterfly-shaped rash on the face), and fever. Treatment usually involves medications to reduce inflammation and suppress the immune system.


What are the signs of hypothyroidism and how is it managed?

Hypothyroidism is characterized by symptoms such as fatigue, increased sensitivity to cold, constipation, dry skin, weight gain, and muscle weakness. It is managed with daily use of synthetic thyroid hormone levothyroxine to normalize hormone levels.


How can a family history of thyroid disease impact my health?

A family history of thyroid disease can increase your risk of developing thyroid-related conditions. It's important to monitor for symptoms and consult with a healthcare provider for regular check-ups and potential early intervention.


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