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I'd really appreciate if someone could help me out with a facial rash I've had for about a year now (male, 27, white).
It started as very small blotchy dots/spots on my forehead and this only showed up after I'd showered. At the time, I assumed it was maybe heat rash from the hot water or some sort of reaction to shampoo or facewash. I had some steroid cream lying about in the house so I began to use it pretty much every day when I realised how effective it was at making the rash go away, and I was oblivious to the dangers of overusing a steroid cream. I then developed perioral dermatitis spots around my mouth several months later, and I'm absolutely certain it was due to the overuse of this cream. I ceased the steroid cream and eventually the perioral spots completely cleared, but I still have the rash on my forehead, which has gotten steadily worse and more prevalent than before.
I have it pretty much all the time now, and it's exacerbated by absolutely anything coming into contact with it, including water. It manifests as small, angry pustules when exacerbated, and red inflamed spots at other times. It is painless and never itchy. I am always very gentle when washing, I switched to Burt's Bees shampoo (SLS-free) and I no longer wash my face with anything but water, but the rash remains. It looks like it has begun to spread to my temples and cheeks and I am at my wits end trying to get to the bottom of it. I have to apply a thick, greasy emollient (Diprobase ointment) and it helps somewhat, but nothing has ever completely calmed it.
I have no idea what this is and I can't figure out what triggers it (apart from washing/rinsing with water). I had problem-free skin before this developed, and my best guess is that I've damaged the epidermis. Can anyone help? Thanks!
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