
Dry Itchy Skin Around Eyebrows, Patches Near Mouth And Neck, Swollen Eye Lids. Took Antibiotics. Suggest Treatment

Thanks for writing in.
Ive gone through the image and history provided.
The condition can be allergic contact dermatitis, early stage of systemic lupus erythematous, seborrheic dermatitis ,dermatomyositis etc.
Also I would like to know-
Do you have dandruff/ similar lesions behind the ear?
Do you feel any muscle weakness/fatigue/ oral ulcers /intolerance to sunlight etc?
Have you done blood work up?Is it normal?
What testing you have undergone for lupus? Have you done ANA/ dsDNA/anti XXXXXXX antibody testing?
Have you been given oral steroids?
Any change in shampoo/soap/cosmetics/toiletry etc?
Any such lesions on other parts of body?
Are you on any medication presently?
Answer the above questions and we can continue the discussion here.
Hope this helps.
I will be available for follow up.
Regards
DrSudarshan
MD
Dermatology


For the makeup shampoo question like I said this started last march so everything was thrown out and I only use cetaphil on my face for a cleanser as was prescribed to me, and my normal shampoo and conditioner i've used for years. I haven't worn my contacts, nail polish or makeup since this all started last year to cancel out those being options.
No lesions on the rest of my body and i'm not taking anything besides reactine for medication
Thanks for details.
The condition could be Contact dermatitis,dermatomyositis,ocular rosacea etc
You will need to undergo skin biopsy ,patch testing for allergens,renal function test ,thyroid function test would be helpful.
Response to steroids indicates an allergic or autoimmune cause.
A visit to immunologist /rheumatologist would be helpful.
Hope this helps.
I will be available for follow up.
Regards

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