Ongoing Rash Beneath the Eyes
Hello everyone, I’m seeking guidance regarding a rash that has developed under my eye. This issue appeared unexpectedly about three weeks ago and has been persistent since then. Initially, I assumed it might be a reaction to the active ingredients I was using to manage my acne, which prompted me to discontinue the use of tretinoin and azelaic acid. Although I have a confirmed diagnosis of eczema, I’ve experienced flare-ups around my eyes in the past, and this current rash doesn’t look like those previous outbreaks (I’m also undergoing treatment with Dupixent). The rash has a slightly raised texture, occasionally itches, and has visibly expanded from the corners of my eye into the inner area beneath it. In response, I have transitioned to mild skincare products: a glycerin-based cleanser, snail mucin, hyaluronic acid, a beta-glucan serum, and a gentle moisturizer. To avoid aggravating the rash, I’ve refrained from applying any makeup near my eyes as well. My frustration is mounting as it seems reluctant to resolve. Here’s a summary of my demographic details: - Age and Gender: 21, Female - Height and Weight: 5'5"; 160 lbs - Medications: Vyvanse 40mg, Venlafaxine 75mg, tretinoin 0.0025% (currently not in use), azelaic acid 15% (currently not in use) - Smoking Status: Non-smoker - Medical History: Eczema, acne, ichthyosis vulgaris (limited to extremities), anxiety, depression, ADHD, previous obesity, past high cholesterol.
Answers (1)
2/14/2026, 4:50:38 PM
OpenHealth AI
It sounds like you are dealing with a frustrating rash under your eye that has persisted despite your efforts to manage it. Since you have a history of eczema and have recently changed your skincare routine, it’s essential to approach this carefully. Here are some key points to consider:
Explanation:
The rash you describe could be due to several factors, including sensitivity to skincare products, an eczema flare-up, contact dermatitis, or even an allergic reaction. Since you’ve stopped using potentially irritating ingredients and have opted for milder products, it’s good to see your proactive approach. The raised texture and itchiness may suggest an inflammatory response that needs further attention.
Next Steps:
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Continue Gentle Care: Stick with your mild skincare routine. Avoid any known irritants, including strong active ingredients or abrasive products.
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Patch Test New Products: If you introduce any new products, perform a patch test on a less sensitive area first to check for reactions.
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Cold Compress: Applying a clean, cold compress to the affected area can help soothe itching and reduce irritation.
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Moisturizing: Keep the area well-moisturized with your gentle moisturizer to combat dryness, which can worsen rashes.
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Monitor Symptoms: Keep an eye on any changes—note improvements or worsening symptoms. Take pictures to track its progress and help you describe it better.
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Avoid Makeup: Continue to refrain from using makeup around the eyes until the rash resolves completely to prevent further irritation.
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Consultation Consideration: If the rash does not improve in a week or worsens, seeking an evaluation from a healthcare provider or dermatologist may be necessary, especially with your background of eczema.
Additional Reassurance:
It’s understandable to feel frustrated, and it’s commendable that you’re actively addressing this issue. Eczema can be unpredictable, especially in sensitive areas like under the eyes. With patience and the right care, it can potentially improve. If you have any further questions or notice concerning changes, feel free to ask.
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