What causes recurrent red patches on the face?

Question

Hello doctor,

I have this red patch on my face. It appeared around the beginning of this year on both cheeks and then I had it consulted with a general physician who issued me a prescription for Physiogel calming relief cream since it was itchy every night.

The one in the left cheek completely healed, but on my right cheek, it sometimes gets worse or lessens but never disappears. Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

I understand your concern regarding the lesions on your arms and legs. To provide an accurate diagnosis, I need more details and a clear photo of the affected area. This will help me rule out various conditions that may cause such symptoms.

Some possible causes include fungal infections, which can lead to brown patches with scaling, and bacterial infections like folliculitis, which may present as inflamed spots with bleeding. Melasma and photosensitive rashes often appear as dark patches due to sun exposure, while drug or food allergies can cause widespread discoloration and irritation. Eczema and contact dermatitis may lead to itchy, inflamed skin, while seborrheic dermatitis can result in greasy, scaly lesions.

Each condition requires a different approach to treatment, so an accurate assessment is crucial. Please attach a clear photo of the lesions, and if possible, mention any additional symptoms like itching, pain, or recent medication use. This will allow me to guide you better and provide the most effective solution for your condition.

I hope this helps.

Kindly revert in case of further queries.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I have seen the picture (attachment removed to protect patient identity), and it looks like melasma due to photoreaction or sensitivity. It tends to change its color when there is less sun damage and more or more, and that is why you observed the same. There is no need for panic as it can be treated. You can use Tri-Luma cream (Hydroquinone 4 %+ Fluocinoloneacetonide 0.1 %+ Tretinoin 0.01 %) to apply at night, only on the lesion, for two weeks, La shied gel-based sunscreen, SPF not less Than 30, Antoxid HC capsules once daily for one month.

Provided you do not have any prior allergy to these medications. Please review after two weeks, as TriLuma cream should not be used for prolonged periods. Have proper application of sunscreen. Since Tri-Luma cream is a photosensitive medication, it is very important to follow a proper sunscreen routine. Apply two hours before getting out in the sun for proper activations of the components. Have double applications, once in the morning and the next at noon time. Should apply sunscreen even when indoors, as UV (ultraviolet) rays can seep in through the windows. This should apply even during the winter season.

I hope this helps.

Kindly revert in case of further queries.

Thank you.