My clinical impression- Demodex folliculorum the face mite.Treatment metronidazole gel after confirmation.
The Derm has looked at it under a scope twice, wouldn't that have been obvious to him? The 1st time he scraped the area and looked for fungal infection, the 2nd time he scraped it and looked for herpes and also sent it off for a herpes culture, which came back negative. I am having a different derm look at it this week, but am just becoming very frustrated.
I've been off the desonide ointment for two days now and even from this morning to this evening it has gotten worse. The footprint of the rash is roughly the same but the number of pustules/zits in the rash have probably increased by 1/3 through the course of the day and my skin is begining to feel very dry/chapped.
Unless you are specifically looking for demodex, it is missed.And all the cremes mentioned will rather exacerbate the condition if the assumed condition is right.Do see the derm but my instinct if you may call it, favours demodecosis.It is not serious,but an irritation nevertheless.
My derm gave me metronidazole cream .75% (2x daily) and I have used it for two days now. I think some of the redness has gone but I do still have the little zit-like bumps (but fewer). I think it may be helping but then again I thought the desonide ointment was helping too? Approximately how long would you expect this cream to clear this infection? The derm didn't do another scrape or culture and really didn't give me a diagnosis so I think he just gave me this cream as a blanket fix for many possible ailments. The cream burns slightly when applied, and seems to make the rash itch a little. Just wondering how long I wait before I begin to worry.
A few days should be fine,desonide can be used just to tide over,a short course,once a day.
I have been using the metronidazole cream for over a month now and the rash, while looking better (less red/fewer bumps), has spread around my mouth to the skin between my nose and mouth and has also sprung up on my forehead, between my eyebrows. I really don't know what to think b/c it does seem to respond to the cream by dying down but it obviously is not going away and seems to be taking over more and more of my face. I am not missing any doses and am actually using the cream 4-5 times daily (it was only prescribed for 2x daily). Any thoughts would be welcome.
Hi I have the same issue ask your doctor about triamcinolone acetonide cream usp 0.1% 3 ounce(80g) works like wonders, it will go away after using it a few days depending how bad it is a week at the most, I have eczema/dermatitis and this is what you should be using this helps all kinds of skin condition, you have some kind of eczema/dermatitis, so I would advice you to ask your do toe for this. And afer a week it goes away then comes back be sure to out it on at the first sign of it, this type of thing is on going but this cream will help it go away for a long time.