Facial erythema | Figure 1

Facial Erythema

A 60 years old female known atopic with recurring urticaria for the last 20 years, also diabetic since 2013, presented with facial erythema that extends down to involve the whole chest wall down to the level of the umbilicus. This condition has been strictly well defined for the last 3 months. She has received a lot of steroids, both topical and systemic, with no benefit. Her condition tends to wane and flare but never resolve completely.

Additional Cases

  1. 67 yo Female:

    • History: Diabetes Mellitus (DM) and Hypertension (HTN) on Lisinopril for 3 years.
    • Symptoms: Sudden progressive rash for 1 month. All ROS negative except for pruritus. No known exposure or triggers.

  2. 5 yo Male:

    • History: Recurrent burning rash.
    • Symptoms: Rash on chest, thighs, stomach, and arms. Skin is very flaky without itching, burning instead. Rash lasts for several days, improving with topical steroids before recurring several weeks later.

  3. 18 yo Male:

    • Symptoms: 4 episodes of sudden onset pruritus and rash starting on scalp, resolving within a day after being given oral prednisone.
    • Additional Notes: No infections, no NSAIDs, and no cold sores. Asymptomatic sensitization to grass pollen.

  4. 55 Year-Old Patient:

    • History: Underwent Mesotherapy injections in her face.
    • Symptoms: Face became oedematous after the injection (Angioedema reaction). Currently on systemic corticosteroids, but still experiencing fluctuating Angioedema.

Trending Cases

  1. 52-Year-Old Man:

    • History: 20-minute history of chest pain radiating to the left shoulder and neck.
    • Symptoms: Associated with dyspnea and diaphoresis.

  2. 28-Year-Old Woman:

    • Symptoms: Intense pruritus over the lower back; cares for a kennel of rescued dogs.

  3. 4-Month-Old Male Infant:

    • Symptoms: Skin lesions localized to the chin for the past 3 days; multiple small pustules on the chin and a few scattered papules on the chest.

  4. Late Teens Patient:

    • Symptoms: Collapsed without chest pain or previous cardiac history; inquiry regarding EKG features.