Seeking Assistance for a Persistent Facial Rash
As a 25-year-old woman, I have been dealing with a facial rash for several years. Despite consulting a dermatologist and attempting various treatments, nothing has proven effective. At present, my rash has intensified, although it typically appears less inflamed and more subdued in color. My ongoing medications include levothyroxine and Apri. For skincare, I utilize Vanicream both for cleansing and moisturizing my face.
Answers (1)
2/16/2026, 1:10:35 AM
OpenHealth AI
It sounds like you're understandably frustrated with your persistent facial rash, especially after years of trying different treatments without success. Let's break down your situation and outline steps you can take to manage this condition more effectively.
Main Points:
- Persistent facial rash can result from several conditions such as dermatitis, hormonal influences, or allergies.
- Your current regimen might need adjustments, and it’s important to identify potential triggers for the rash.
Explanation:
Since you have been dealing with this issue for years and have not found relief despite seeing a dermatologist, it's possible that the rash is being influenced by factors that haven’t been fully addressed. The fact that your rash is less inflamed but has intensified in appearance suggests it might be chronic and could be affected by internal factors or skincare products.
Next Steps:
-
Keep a Symptom Diary: Document the following for at least two weeks:
- When the rash worsens or improves (note any potential triggers—food, weather, stress).
- Changes in your skincare routine and medications.
- Any new products you try or changes in your diet.
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Review Current Skincare Products: Although Vanicream is generally well-tolerated, consider:
- Stopping any new products temporarily to see if your skin reacts better without them.
- Avoiding products with strong fragrances or known irritants, as they can exacerbate skin issues.
-
Monitor for Hormonal Effects: Given your use of Apri (a contraceptive), consider any correlations between your menstrual cycle and the flare-ups. Hormonal fluctuations can influence skin conditions such as melasma or acne.
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Re-evaluate Your Diet: Some people find that certain foods can trigger skin reactions. Consider reducing dairy, gluten, or sugar for a period to see if your skin improves.
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Consider Topical Treatments: After a discussion with your healthcare provider, you may want to explore:
- Topical corticosteroids to reduce inflammation.
- Other prescription topical treatments, such as calcineurin inhibitors or antibiotics if necessary, depending on the nature of your rash.
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Follow-up with Your Dermatologist: Since your rash is persistent and has intensified, continue working with your dermatologist to reassess your current strategy. They might consider conducting patch testing to identify allergens or a biopsy if the rash is atypical.
Remember, achieving clear skin can often be a journey, and it might take some trial and error before finding the right approach for your specific needs. You’re not alone in this, and persistence is key. Keep in touch with your healthcare providers for ongoing support.
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