A 26-year-old asthmatic woman complained of an “eczemalike” rash of 10 months’ duration. Pustules affected the perinasal and perioral skin, but the skin abutting the mucosal surface of the lips was spared. Use of soaps and moisturizers seemed to irritate the skin, and the patient noted a constant burning sensation of her cheeks. Initial self-treatment with OTC hydrocortisone offered minimal improvement. Topical erythromycin seemed
to worsen the condition. Use of clobetasol (Temovate) cream caused initial dissipation of the itching and redness, but without regular application, the rash would return with a vengeance.
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