Spot diagnosis

A 34-year-old woman presents with non-pruritic erythematous periorbital rash.

She has a history of psoriasis and a chronic cough but no other systemic symptoms.

The patient says she woke up with the rash, which feels warm and gives her a burning sensation but is not itchy or scaly.

She has no other systemic symptoms and denies muscle pain or weakness.

Is this a self-limiting condition of a sign of something more severe?

What is your diagnosis and treatment?


Answer: This is an irritant dermatitis caused by an eye cream, such as one containing alpha hydroxy acids for ageing. It is likely she has been using the cream for some time.

Prescribe hydrocortisone ointment for brief but aggressive use of no more than one week.

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