[76F] Experiencing facial redness, numbness, and body rash

Patient Description

A 76-year-old female presents with a week-long history of progressive, unilateral facial redness that began on the cheek and has been spreading. The affected area also feels numb. Additionally, she reports a non-itchy rash spread over her body. The patient has not identified any specific triggers that worsen the redness, and this is the first occurrence of such symptoms. There is a sensation of heat in the top of the ear, but upon clarification, there is no visible redness. The patient is concerned about the uncertainty of the condition and its progression.

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Arora's Assessment

What might be happening

Given your symptoms, here are a few 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 weeks to months and then go away for a while.

    • Treatment typically involves medications to reduce the redness, inflammation, and pimples of rosacea.
  • Contact Dermatitis: This is a red, itchy rash caused by direct contact with a substance or an allergic reaction to it. The rash isn't contagious or life-threatening, but it can be very uncomfortable.

    • Treatment usually involves avoiding the irritant and applying creams to soothe the inflammation.
  • Lupus: This is a systemic autoimmune disease that occurs when your body's immune system attacks your own tissues and organs. Redness and a rash are common symptoms, and it can also affect your joints, skin, kidneys, blood cells, brain, heart, and lungs.

    • Treatment usually involves medications to control symptoms, and may vary depending on the severity of the symptoms and which parts of your body are affected.

What you can do

It's important to consult a healthcare provider for a proper diagnosis and treatment. Here are a few things you can do in the meantime:

  1. Avoid hot drinks, spicy foods, alcohol, and anything else that seems to trigger your symptoms.
  2. Use a gentle skin cleanser and avoid scrubbing your skin, which can make your symptoms worse.
  3. Protect your face from the sun by using a broad-spectrum sunscreen with an SPF of 30 or higher.

What you should look out for

Please seek immediate medical attention if:

  • Your symptoms worsen or spread to other parts of your body.
  • You have difficulty breathing or swallowing.
  • You develop a fever or other signs of infection.

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 accurate information.

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11 mo ago

People Also Ask


What are the common symptoms of rosacea?

Common symptoms of rosacea include facial redness, visible blood vessels, and sometimes small, red, pus-filled bumps. The symptoms may flare up for weeks to months and then subside.


How can contact dermatitis be identified and managed?

Contact dermatitis can be identified by a red, itchy rash that appears after contact with an irritant or allergen. Management involves avoiding the irritant and using creams to soothe inflammation.


What are the early signs of lupus and how is it treated?

Early signs of lupus include a facial rash resembling a butterfly, joint pain, fatigue, and fever. Treatment typically involves medications to control symptoms, tailored to the severity and affected body parts.


What lifestyle changes can help manage facial redness and rash?

To manage facial redness and rash, avoid triggers like hot drinks, spicy foods, and alcohol. Use gentle skin cleansers, avoid scrubbing, and protect your skin from the sun with a high SPF sunscreen.


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