Kindly suggest some remedies for the rash near my eyes.

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Please mention whether you have a sensitive skin type. Please mention whether you have a history of sunburn in the past. Please mention whether you have itching, oozing, facial flushing or acne or rosacea, or steroid-induced flushing. Please mention whether you have a fever. Kindly answer my questions in detail.

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I have gone through the attached photo (attachment removed to protect patient identity). You have polymorphic light eruption with atopic dermatosis (eczema). It is an idiopathic endogenous photodermatosis characterized by intermittent polymorphic eruptions ranging from papules to large plaques localized to photo-exposed areas. It often affects young women less than 30 years of age in temperate regions. It has a genetic predisposition, glutathione depletion with UV radiation resulting in increased recognition of antigen. The other differential diagnosis is airborne contact dermatosis, actinic prurigo, solar urticaria, chronic actinic dermatosis, and SLE (systemic lupus erythematosus). Photo-protection is the mainstay of treatment. Minimize sun exposure. You can use broad-spectrum sunscreen like Photostable sunscreen or Sper sunscreen lotion. Use it before 20 minutes of going outdoors for 20 days. You can use wide-brim hats, umbrellas, and protective clothing. You can use one percent Hydrocortisone at night for seven days to reduce redness. An omega-3 fatty acid supplement can be taken. You can use Calcitriol topical cream in the daytime for seven days. Please mention whether you have dry skin, raised IgE levels, chelitis, difficulty in breathing, frequent sneezing, family history of asthma, seasonal variations, winter aggravation, contact with parthenium grass, and any involvement of mucosa. Kindly answer these questions in detail.

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Avoid triggering factors. Have adequate moisturization of skin by applying an emollient like Emoderm cream, Venusia max cream for a month. Avoid long and warm water baths. You can use a mild soap like Dove or Pears or Syndet soap. Wear cotton clothes and maintain humidity to 30 to 40 percent. You can use topical antibiotics like Mupirocin (T-bact) ointment in the evening for seven days. Airborne contact dermatitis with solar atopy is also a possible cause. Exposure to triggers such as plant source allergen, cedar pollen, chrysanthemum, sunflower, acacia, ambrosia, tropical and domestic wood, agricultural dust, smoke, pesticides, chemicals, metals, plastic, rubber, and glues can cause it, You can use barrier cream and emollient. You can use Cetaphil moisturizing lotion immediately after bathing for 20 days. You can have photoprotection by using sunscreen, full sleeve shirts, and hats. You can use topical steroids for a limited time of seven days to reduce redness. Have a follow-up after seven days.