I am a 42 y/o caucasian male.
I have what appears to be Sycosis Barbae, or at least this is the best I can tell from the images I've seen online.
I've had this condition for 15 years; it subsides to where my skin is almost clear but can inflame, apparently at random. There has though always been a patch under my chin on the right side.
To check the severity of my current condition, today I shaved using a razor, breaking from my routine, as I usually trim my beard with a trimmer to 2/3mm.
I have seen countless dermatologists and no one has been able to pinpoint exactly what is wrong.
As you can see from the images, my skin is particularly bad with lesions all over my beard area.
I am perhaps 10 pounds overweight but I am reasonably active - in the sun a lot - cycling and sailing mostly.
I think I may have an overproduction of keratin as I am almost daily able to squeeze, like a toothpaste from a tube, white gunk from around my nostrils and also from pores on the side of my face near my ears.
I often find multiple hairs in the same follicle. Some hairs can be much thicker and darker than others. I also find white nymph-like hairs; these are usually softer and are easily removed.
Oftentimes, there's gunk at the base of the hair.
At the moment, I am taking self-prescribed trimetoprim.
As I live in hong Kong, where I think this conition is rare as Asian people aren't that hirsute, I am really hoping a doctor here may be able to help!