Skin irritation and red, rough texture for years!!

Hi Dr. Irwin. My problem quite long. Had clear skin until age 33 after using some scrubbing pads & face powder after using those 2 products twice my entire face where I used the scrub got rough texture, very red, with tiny little red pimples and very dry. I was put on cortisone which made it worse. For the past 6 years have has the rash every where and I have been told by 6 dermatologists that I have Rosacea & my skin is very irritated looks blotchy, it burns itches and feels tight. I was recently told by one dermatologist that I need to go on accurate because I have acne & some sebaceous hyperplasia. I am a little scare since I have been diagnosed differently! I am so confused & overwhelmed. Thank you.

I’m very sad that this is happening to you.  It sounds so uncomfortable!   Since you’ve seen 6 dermatologists (Are they board certified?? Not sure, go to, I know there must be one or two that you could communicate with well.   Please make an appointment with that dermatologist again and here are some questions to ask him/her.  Link here to Finding a Good Doctor.

  • Was a culture to look for infection done?
  • Was a biospy done both for regular pathology (H&E) and immunoflorescence (IF) and what did it show?
  • Were you tested for allergic problems both by the dermatologist (this is called patch testing) and the allergist (these are tiny needle injections)?
  •  Were you given advice on very bland, hypoallergenic products to use in the meantime, like Cerave or Vanicream (no prescription needed)?
  • Were any other tests (blood tests?)  done to support the diagnosis that they gave you (since you’ve had several different diagnoses)?

Until you really get an accurate diagnosis that is solid, I’m guessing you won’t get better because the treatment can’t be very specific.    Good luck to you!   Dr. I

Dr. Brandith Irwin, MD

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