Hi,

Thanks for the query.

In view of history of eczema all your current symptoms involving the lips, angle of the mouth and corners of skin under the eyes could be related with eczematous condition.

Eczema can have varied presentation ranging from itching, skin flaking, dryness to severe redness/rashes, fluid filled lesions. Further occasionally these lesions can get infected causing other concerns.

Remitting symptoms such as yours are associated with allergens, stress, hormones and other external factors. So I wonder if you use any new cosmetic product or a recent travel or any other allergic contact. If any such factors are associated you need to avoid those.

In such cases I suggest the following:
1. Good moisturizer (lubriderm/eucerin): We suggest use of moisturizer within 3 minutes of bath for better benefits.
2. Topical steriods like 1% hydrocortisone can be applied over the affected areas. Though this is available over the counter, it needs to be used with caution preferably under the supervision of your doctor.
3. Avoid soap and facial cleaners. Use plain water and if required emollient soap substitutes for washing and cleaning purpose.
4. Oat meal bath products can give added benefits.
5. Oral antihistamine may be added to your medications. If the itching and redness is severe we can use prescription antihistamines like fexofenadine at night for a few days.

Please discuss about these option with your current doctor.

I see you also have history of hashimoto's thyroiditis. I hope the thyroid hormones are replaced in sufficient quantities. Your current Thyroid stimulating hormone (TSH) is an indicator of adequate treatment.

Avoiding scratching; you may trim your nails if needed. Drink plenty of fluids with vegetables and fruits.

Hope this helps. Let me know if you have any other concerns.

Regards

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