I have the same condition. Saw a dermatologist a few years back and was diagnosed basically with a yeast infection. Any way that's my two cents might want to check with your dermatologist.
its extremely embarrassing, has an effect on my social life, causes me extreme anxiety, occurs when anxious, stressed, from wine drinking, stops me from socialising and participating in work discussion. Very debilitating:( Has had a major effect on me succeeding, I can't bear to be centre of attention, panic if I have to speak in public, I have a phobia about socialising.