[47F] With rosacea symptoms and history of epilepsy and Hashimoto's

Patient Description

A 47-year-old female presents with rosacea symptoms for the past 6 months, characterized by redness and bumps on the skin, particularly exacerbated by sun exposure. This is the first occurrence of these symptoms, with no associated flushing, visible blood vessels, or skin thickening. The patient has a medical history significant for epilepsy, diagnosed at age 20, and Hashimoto’s thyroiditis, diagnosed at age 40. She is currently on Tegretol, taking 200 mg per pill, 3 pills at night and 2 in the morning, and Synthroid, 1 pill at night. There are no known drug allergies or family history of rosacea or other skin conditions.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Rosacea: This is a common skin condition that causes redness and bumps on the face. It can be triggered by sun exposure, which you've identified as a factor for you. Rosacea is not fully understood, but it involves inflammation and sometimes visible blood vessels. Treatment often includes topical or oral medications to reduce inflammation and redness, and lifestyle changes to avoid triggers.

  • Hashimoto’s Thyroiditis: This is an autoimmune condition affecting the thyroid, which can sometimes influence skin health. While it's not directly linked to rosacea, managing your thyroid levels with Synthroid is important for overall health.

  • Medication Effects: While Tegretol (carbamazepine) is primarily used for epilepsy, it can sometimes have side effects that affect the skin. However, since you haven't noticed any other symptoms, this might not be a significant factor.

What you can do

  1. Sun Protection: Since sun exposure worsens your rosacea, use a broad-spectrum sunscreen daily, wear a wide-brimmed hat, and seek shade when outdoors.

  2. Gentle Skincare: Use mild, non-irritating skincare products. Avoid products with alcohol, menthol, or fragrances that can aggravate rosacea.

  3. Identify Triggers: Besides sun exposure, other common triggers include hot drinks, spicy foods, alcohol, and stress. Keeping a diary of your symptoms and potential triggers can help you identify and avoid them.

  4. Consult a Dermatologist: A dermatologist can provide specific treatments for rosacea, such as topical creams or oral antibiotics, and help tailor a skincare routine for you.

  5. Use MDandMe: You can use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

  • Worsening Symptoms: If your rosacea symptoms worsen or you notice new symptoms like eye irritation or thickening of the skin, seek medical advice.

  • Thyroid Health: Continue monitoring your thyroid function with your healthcare provider to ensure your Hashimoto’s is well-managed.

  • Medication Side Effects: If you notice any new or unusual symptoms, discuss them with your doctor to rule out medication side effects.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan.

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2 mo ago


People Also Ask


What are common triggers for rosacea and how can they be managed?

Common triggers for rosacea include sun exposure, hot drinks, spicy foods, alcohol, and stress. Managing these triggers involves using sunscreen, avoiding known irritants, and keeping a diary to identify personal triggers.


Can Hashimoto’s thyroiditis affect skin conditions like rosacea?

Hashimoto’s thyroiditis primarily affects the thyroid gland, but it can influence overall skin health. While it is not directly linked to rosacea, maintaining balanced thyroid levels is important for general well-being.


Are there any potential skin-related side effects of taking Tegretol?

Tegretol (carbamazepine) can sometimes cause skin-related side effects, such as rashes or increased sensitivity. However, these are not common and should be discussed with a doctor if they occur.


What are effective treatments for managing rosacea symptoms?

Effective treatments for rosacea include topical creams, oral antibiotics, and lifestyle changes to avoid triggers. Consulting a dermatologist can help tailor a treatment plan specific to individual needs.


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