Skin Rash on Cheeks, Forehead

[malivf]

I am 27 years old and for the past 8-9 years I've struggling with what some doctors stated is a rosacea.  I break out after I eat anything spicy all over forehead, cheeks, all around the nose and hairline.  I get the same result if I drink alcohol or am exposed to severe cold wind, temperatures, workouts.  Do I have rosacea or is this some sort of dermatitis? I keep going to different dermatologists, but they prescribe me creams, pills and topical treatments.  Although the condition gets somewhat better, the skin never completely clears. Please, HELP!!!

[Bhupinder Kaur, MD]

Hello
Rosacea is an important possibility for your symptoms. Rosacea is a cutaneous disorder of the central part of the face , such as forehead, cheeks, nose and chin. Pimples or acne are sometimes included as part of the definition.
It is really frustrating when none of the treatment works. I suggest you to get a biopsy skin done to confirm the diagnosis and then start with the treatment. I hope it helps. Take care and regards.

[OldFatChick]

Have you been checked for Lupus?  You probably don't have it, but the rash sounds like the typical "butterfly rash" that some Lupus patients have.  Does spending time in the sun make you break out?  First step is getting ANA tested, but there are other tests as well.