Acne-like rash around the nose and mouth


A 71-year-old woman presents with a worsening rash of red bumps on her face that burned and was itchy for 5 months. A topical ointment of hydrocortisone 1% provided some symptom improvement, but the rash seemed to flare when the patient stopped using the ointment, so she used it regularly.

She had not used any new personal-care products and had ...