**NOTE: this question was posted under "EYE" by accident; it was supposed to be a general question for MD's**
I am a 30-year-old male (non-smoker) with a long history of eczema. It started around age 10, on my hands. Since then, it has grown to include my ear lobes. I use a combination of elecon cream and urea-based moisturizers for my hands (using elecon only during flare-ups) and 0.5% hydrocortisone for my ear lobes.
In the last month, the skin underneath my eyes has begun to get dry and red, and also on the bridge of my nose and near my nostrils. I was worried it might be a thyroid problem or other glandular problem, but I had blood work very recently for thyroid, liver, and pancreas function, and they were all normal.
Could it be my eczema or could it be rosacea? I have looked at photos of rosacea online, and my redness is similar in distribution to typical cases, although mine is very mild in appearance -- at least at the moment. I know that rosacea is linked in many cases to gastrointestinal issues (such as bacterial overgrowth), and I have also had a worsening of my IBS in recent months.
Note that I generally do not drink alcohol, except on rare social occasions.
The following image is not a picture of me, but my redness looks very similar to it:
My redness is milder, and worse under my right eye than my left eye.
My question is: could this redness be my eczema or is it rosacea, and what tests would distinguish the two? At the moment I have access to the following topical medications:
-elecon 0.1% (prescribed for eczema on hands)
-urea 10% moisturizer
-retin-a (prescribed for mild actinic keratosis and acne on face)
Would any of these be useful for the redness I am describing?