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Dr. Hanson
Dr. Hanson, Doctor (MD)
Category: Health
Satisfied Customers: 935
Experience:  Diplomate, American Board of Quality Assurance & Utilization Review Physicians
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red bumps on right of face

Resolved Question:

they will clear up in one place and come out in another leaving a dark spot. It seems there more than at each place and all are on the right of my face. what is it and how to treat
Submitted: 6 years ago.
Category: Health
Expert:  Dr. Hanson replied 6 years ago.

Hello,Customer I need you to answer some questions so that I can be more helpful.

Do your red bumps on your face itch or are they painful?

Are the red bumps in a line along a nerve on the right side of your face?

Do the red bumps have a white "head" like a pimple?

Do the red bumps go away after applying the antibiotic?

 

 

Customer: replied 6 years ago.
itch some but not painful
no not on a nerve
sometime after a few days
not immediately but after a few days
Customer: replied 6 years ago.
bumps itch some , no not paqinful

they are not on nerve they random locations

bumps will fester aqfter a day or two

bumps will go away after a few days,but reappear at another place
Expert:  Dr. Hanson replied 6 years ago.

Hello,Customer You have rosacea.

Demodex folliculorum mites are a possible factor in the pathogenesis of rosacea along with genetic predisposition, gastrointestinal diseases, chronic gall bladder disease, and hypertension. D. folliculorum is an obligate parasite of humans that colonizes follicles of the head, neck, and upper trunk. http://dermatology.jwatch.org/cgi/content/full/1993/901/3

Also, Helicobacter pylori is associated with rosacea.

Triggering factors that exacerbate your rosacea should be identified and avoided if possible. Common triggering factors include hot or cold temperatures, wind, hot drinks, caffeine, exercise, spicy food, alcohol, emotions, topical products that irritate the skin and decrease the barrier, or medications that cause flushing.

A sunscreen that protects against both ultraviolet A and ultraviolet B light is recommended. Physical blockers such as titanium dioxide and zinc oxide are helpful. Also, the sunscreen should contain protective silicones such as dimethicone or cyclomethicone. Green tinted sunscreens can cover the redness.

Avoid astringents, toners, menthols, camphor, waterproof cosmetics requiring solvents to be removed, or products containing sodium lauryl sulfate.

Medications that reduce flushing including beta-blockers, clonidine, naloxone, ondansetron, and selective serotonin reuptake inhibitors are helpful.

You should be examined and treated in person by a dermatologist so that he can prescribe the appropriate medications.

Vascular lasers are the mainstay of rosacea therapy.

Medications (topical and oral) effective to treat rosacea:

  • Benoxyl, Benzac, Oxy-5, or Fostex (benzoyl peroxide) apply sparingly daily then gradually increase to two to threee times daily as needed. Reduce dose, frequency, or concentration if excessive dryness or peeling occurs
  • Azelex or Finacea (azelaic acid) available in 15% gel (Finacea) or 20% cream (Azelex) can be used twice daily as initial treatment. Some patients report temporary burning or stinging. Wash area and apply sparingly twice a day.
  • Plexion, Clenia, Rosula lotion, Rosac cream (sodium sulfacetamide and sulfur) contains 5% sulfur and 10% sodium sulfacetamide. Sodium sulfacetamide has antibacterial properties and sulfur is considered an antiseptic with keratolytic action. Apply to affected area but do not apply to irritated or abraded skin
  • Protopic (tacrolimus) reduces itching and inflammation by suppressing the release of cytokines from T cells. Apply thin layer to affected skin areas twice a day and rub in gently and completely; continue treatment for 1 week after clearing of signs and symptoms
  • Zithromax (azithromycin) 500 mg on day 1 followed by 250 mg daily for the next 4 days. antibiotic
  • MetroGel, Noritate, Flagyl, or Protostat (metronidazole) 200 mg twice a day is an antibiotic. Wash affected area and apply a thin film to affected area twice a day
  • AK-Pred, Delta-Cortef, Articulose-50, or Econopred (prednisolone) in combination with isotretinoin. Rosacea fulminans is treated with moderately high doses of prednisolone 30 to 60 mg daily followed by oral isotretinoin.

If you have questions please ask me.

Dr. Hanson

Dr. Hanson, Doctor (MD)
Category: Health
Satisfied Customers: 935
Experience: Diplomate, American Board of Quality Assurance & Utilization Review Physicians
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