[23F] With facial rash and skin throbbing after using new skincare products

Patient Description

A 23-year-old female reports the onset of small pink dots on her face after starting to use new skincare products. The patient describes the rash as consisting of small pink dots and notes that her skin sometimes hurts upon application of new skincare products, though the pain is not consistent. Today, after using an oil-based cleanser (Anua Heartleaf Pore Control Cleansing Oil) followed by a cleansing foam, the patient experienced a throbbing sensation on her face, which was widespread and not localized to the areas with pink dots. The throbbing did not cause pain but was noticeable upon touch. The patient has a history of eczema diagnosed a few years ago but has no known drug allergies and is not currently taking any medications. She has also recently started using new makeup products.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Contact Dermatitis: This is a common skin reaction that occurs when the skin comes into contact with an irritant or allergen. The new skincare and makeup products you are using could be causing this reaction. Symptoms typically include redness, itching, and sometimes pain or a burning sensation.

    • Treatment: The primary treatment involves identifying and avoiding the irritant or allergen. Over-the-counter hydrocortisone creams can help reduce inflammation and itching. If symptoms persist, a doctor may prescribe stronger topical steroids.

  • Irritant Dermatitis: This is a type of contact dermatitis caused by direct damage to the skin from a harsh substance. The throbbing sensation and pink dots could be a reaction to the new products, especially if they contain strong chemicals.

    • Treatment: Similar to contact dermatitis, the key is to stop using the offending product. Gentle skin care routines and moisturizers can help soothe the skin.

  • Eczema Flare-Up: Given your history of eczema, it's possible that the new products are triggering a flare-up. Eczema can cause red, inflamed, and sometimes painful skin.

    • Treatment: Continue using your prescribed eczema cream and avoid any new products that may be irritating your skin. Keeping your skin moisturized and avoiding known triggers is crucial.

What you can do

  1. Stop Using New Products: Immediately discontinue the use of any new skincare or makeup products to see if your symptoms improve.
  2. Gentle Skin Care: Use mild, fragrance-free cleansers and moisturizers. Avoid harsh scrubbing or exfoliating.
  3. Hydrocortisone Cream: You can try an over-the-counter hydrocortisone cream to reduce inflammation and discomfort.
  4. Cool Compresses: Applying a cool, damp cloth to the affected areas can help soothe the skin.

What you should look out for

  • Worsening Symptoms: If the rash spreads, becomes more painful, or if you develop swelling or pus-filled bumps, seek medical attention.
  • Signs of Infection: If you notice increased redness, warmth, or pus, these could be signs of a skin infection, and you should see a doctor.
  • Persistent Symptoms: If the rash and throbbing do not improve after discontinuing the new products and using gentle skin care, consult a healthcare professional for further evaluation.

Remember, while these tips can help manage your symptoms, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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5 mo ago

People Also Ask

What is contact dermatitis and how can it be treated?

Contact dermatitis is a skin reaction that occurs when the skin comes into contact with an irritant or allergen, causing redness, itching, and sometimes pain. Treatment involves identifying and avoiding the irritant or allergen, using over-the-counter hydrocortisone creams to reduce inflammation, and consulting a doctor if symptoms persist.

How can I differentiate between irritant dermatitis and an eczema flare-up?

Irritant dermatitis is caused by direct damage to the skin from a harsh substance, while an eczema flare-up is a reaction due to a pre-existing condition. Irritant dermatitis often results in immediate discomfort after product use, whereas eczema may involve a more chronic pattern of flare-ups. Consulting a healthcare professional can help differentiate between the two.

What steps should I take if I suspect my skincare products are causing a skin reaction?

If you suspect your skincare products are causing a skin reaction, immediately stop using the new products. Use mild, fragrance-free cleansers and moisturizers, avoid harsh scrubbing, and consider applying over-the-counter hydrocortisone cream to reduce inflammation. Monitor your symptoms and consult a healthcare professional if they persist.

When should I seek medical attention for a skin rash?

You should seek medical attention for a skin rash if the rash spreads, becomes more painful, or if you develop swelling or pus-filled bumps. Additionally, if you notice signs of infection such as increased redness, warmth, or pus, or if the rash does not improve after discontinuing the new products, consult a healthcare professional.

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