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Non-itchy rash on face
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shjones99 posted:
I've developed a rash on my face: sides (but not cheeks or nose), forehead and chin. It doesn't really itch and it isn't very visible (unless you look very closely). Just a bunch of tiny skin-colored bumps. I haven't tried any new cosmetics, though just to be sure, I quit using everything about a week ago when I first noticed the rash.

My dermatologist doesn't know what it is. Is it possible it's a reaction to the antibiotic augmentin? I took it from Nov. 15 - 25. The rash didn't appear until about Dec. 5 or 6.

I don't usually suffer from allergies.
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Susan Evans, MD responded:
Dear shjones99,

Typically, an allergy to medication takes the form of a rash, hives, or swelling, but it usually happens while you are taking the medication, not over a week later.

I would make note of this if you are ever put on Augmentin again, just in case you have developed a sensitivity to it. If this is the case, each subsequent exposure to the medication will result in a much more severe reaction.

It seems more likely that it is a contact dermatitis of some sort. It doesn't even have to be your cosmetics, it could be something that you touched and then touched your face, transferring the substance to which you are now reacting.

Best,

Dr. Evans
 
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shjones99 replied to Susan Evans, MD's response:
But if it was contact dermatitis, wouldn't it have gone away by now? It's been about 2 weeks. Wouldn't washing my face have at least lessened the rash? It really doesn't seem to be getting any better.

Any chance this is some sort of hormonal change? Acne due to going through menopause? (I'm 53 and definitely experiencing "The Change.")
 
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Susan Evans, MD replied to shjones99's response:
Dear shjones99,

There is the chance that your rash could be related to menopause. Hormonal fluctuations affect our skin in a variety of ways, and during menopause, your hormones are certainly fluctuating.

Some cases of contact dermatitis do resolve very quickly, as soon as the body's response to it calms down, so do the skin symptoms. Other times, your skin can stay in an irritated and aggravated state for much longer.

Unfortunately, without being able to perform a physical exam and have your medical history available, I cannot speculate as to what could be causing this condition. Talk to your doctor about your questions about the hormone fluctuations of "the Change."

Keep us posted.

Best,

Dr. Evans


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