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dermdoc19
dermdoc19, Dermatologist
Category: Dermatology
Satisfied Customers: 4124
Experience:  30 years practice in general and cosmetic dermatology
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Small red patches on end of my nose. Sometimes small pimples

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Small red patches on end of my nose. Sometimes small pimples with it. Irritated by sun or cold. Sometimes bleeds if I scrub it. Clears up completely then comes back eventually. Wondering if it's psoriasis (which I have but mild), roscea or skin cancer. Have appt with local dermatologist later in the month but curious now. Have a picture I can post.
dermdoc19 :

These answers are for informational purposes and do not replace a physician head-to-head visit. A patient-physician relationship is not established.

dermdoc19 :

Good evening.

dermdoc19 :

Yes, please post a photo. Thank you.

Customer:

dermdoc19 :

This appears to be Rosacea.

dermdoc19 :

Or a folliculitis.

dermdoc19 :

This should respond very well to an oral antibiotic such as Doxycycline.

dermdoc19 :

This would be the papulo-pustular form of rosacea. At any rate, this is not psoriasis or skin cancer.

dermdoc19 :

I would not use hydrogen peroxide or triple antibiotic cream on it.

dermdoc19 :

The fact that this "clears up completely," and what I perceive to be redness on the cheeks, makes me favor Rosacea over follicultiis. Fortunately, this type of rosacea is the easiest to treat.

dermdoc19 :

Happy to answer further questions or expand on the above.

Customer:

Sometimes makeup or sunscreen or lotion to moisturize my face seems to make the "pimples" larger or worse. Is that just part of it or do you have a recommendation of something that would not irritate it?

dermdoc19 :

I like RevaleSkin

dermdoc19 :

This is a great moisturizer for Rosacea.

dermdoc19 :

However, Stiefel has stopped manufacturing it so it may be hard to obtain.

dermdoc19 :

Aveeno Ultra calming cream is also very good for rosacea and would recommend this. It has a sunscreen in it as does the AM RevaleSkin product.

dermdoc19 :

Orally, Niacinamide 250 mg. twice a day, and Azelaic acid will help.

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