instruction: hi doctor I am 39 years old I have a very bad red itchy weeping scaly butterfly rash on my face which my doctor says is rosacea but it has responded to no treatments except steroid cream so far I also have excessive watering itching and swelling of my eyes ocular rosacea not sure if there is a connection but my periods have become unusually light during the last year could I have something more than just rosacea do you think I am currently being tested for lupus but would there be other possibilities for what could be causing this
output: hi from the photos it looks like rosacea however the possibility of lupus and allergies to sun exposure can not be ruled out you should check out for lupus steroids are not given in rosacea as initially it may give a good improvement but as the times goes by you will be completely dependent on them topical steroids cause skin atrophy and hoards of other problems which is more or less permanent so I will suggest you stay away from them topical metronidazole gel at night with a good sunscreen as rosacea worsens with sun exposure will give results rosacea is a chronic condition and will stay for a long time you will have to manage it well it some times shows signs of flare ups and downs generally as a response to anxiety stress excitement and prolonged sun exposure minimize sun exposure use sunscreen meticulously daily no cosmetics on the face follow up after the use of said medications in 15 days time