Snapshot A 45-year-old woman complains of facial flushing in her forehead and cheeks. She has no other symptoms and denies any history of autoimmune diseases. She notices that the redness is worse after eating spicy foods. On exam, she has multiple pustules and papules on her cheeks. Introduction Common inflammatory facial dermatosis Epidemiology most commonly in adults can occur in children, though rare Cause is unknown Exacerbated by hot foods and drinks spicy foods alcohol heat sun Presentation Skin findings facial eruption forehead cheeks nose around the eyes erythema with telangiectasias flushing papules and pustules may appear Evaluation Diagnosis is usually based on clinical exam and history Differential Diagnosis Acne vulgaris Pustular tinea Folliculitis Lupus erythematosus Treatment Lifestyle modifications avoid spicy foods avoid hot food/drinks avoid sun exposure and use sunscreen Pharmacologic topical metronidazole topical sulfacetamid Prognosis, Prevention, and Complications Disease course varies chronic condition Complications recurrence of disease or resistant disease
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