Is This Acne? Allergic Dermatitis? Eczema? Or Worse......?
asked 1 year ago by BMJ in FL
Latest answer by Arnold R. Oppenheim, MD
Question viewed 171 times
Tags: acne, dermatitis, eczema
My facial breakouts have become more frequent & severe.Been to 3 dermatologists with 3 different DXs:1)acne(2)eczema(3)dermatitis. Im so frustrated b/c none of the Tx ranging from benzoyl peroxide wash, Tri-luma, cetaphil wash/lotion;PO doxycyline & desonide have proven effective. It starts out as a very itchy tingle,then I get an open sore that oozes yellow drainage, then it scabs over & heals w/out a scar IF I dont de-scab by itching. Gums are usually sore & swollen during my episodes. Help!
2 answers to Is This Acne? Allergic Dermatitis? Eczema? Or Worse......?
+2
Possible Herpes Simplex
I read your description before reading Dr. Shelton's astute advice. In other words, my thoughts were running on the same lines: herpes simplex ( cold sores). One certainly has to think of herpes simplex if the lesions are repeatedly occurring in the same location. The itching and tingling that procede the breakout, along with the sore mouth during the breakout, are even more of a clue in my opinion.
The herpes virus is a fragile one, so you should have a herpes culture done...
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Arnold R. Oppenheim, MD
Virginia Beach Dermatologist
Virginia Beach Dermatologist
+2
Breakout
Depending on the extent this could be cold sores or fever blisters which can be associated with mucosal involvement in some, even a major swelling called Stevens Johnson's syndrome. See another derm within the first 24 hours of the next eruption. Sometimes a viral culture can be done.
