face rash

I have a rash on my face. It started around my lips. It looks like tiny white dots all over my face. It don't itch but it burns around my lips. I have been treated with antifungal meds topical and by mouth. I have used Desinide ointment and nothing seems to help. It is beginning to cover my entire face. Please Help. don't kn ow what to do.

[Dr Santos]

Hi,

This could be a case of perioral dermatitis which presents as groups of itchy or tender small red papules  that may appear round the mouth, upper lip, chin and cheeks. The surrounding skin may be pink, and the skin surface often becomes dry and flaky. The most common cause is the application of moisturisers, cream cleansers, make-up foundation, sunscreens  and especially topical steroid creams or ointment. It responds well to treatment but can recur  at a later date or when the antibiotics are discontinued.  It is important to wash the face with warm water alone while the rash is present. It is best that you have this evaluated by your doctor for proper diagnosis and management. Finish the full course of antibiotics prescribed by your doctor to prevent recurrence. And it is important that you avoid the triggers mentioned above.

Take care and keep us posted.