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Why do I get swollen red, dry patches on my face regularly?

I am a 46 year old woman who wears little, if any makeup. The patches always have a slight itch, but nothing that is so bad I am forced to scratch it. I have tried to apply calamine lotion but it did nothing to soothe it. The patches started coming regularly about a year ago. I wash my face daily and also moisturize daily. I have tried other face products and it has not effect on the patches. It seems that about once a month or more I get swollen red, dry patches on my face. They last for 2 to 3 days and afterward I have to add lotion for several more days. I do work in the food service industry and am around a lot of grease and heat on a daily basis. I rarely do any outdoors work so I do not believe it is any kind of rash from poison ivy, oak, or sumac.
There are several possibilities here, and since this is a problem that you have been having for a long time I suggest talking to your primary care doctor to see if you can arrive at a diagnosis. The most likely possibility is that you have eczema. Eczema is an inflammatory condition of the skin characterized by dryness, redness, itching, and scaling. Sometimes eczema flares up in response to things in the environment (dry weather, chemicals and other things you may come into contact with at work, etc). The mainstay of treating eczema is moisturizing. It is always best to use a thick "greasy" kind of moisturizer as these are better at trapping in the skin's natural oils and moisture than typical lotions. Stubborn areas of persistent redness or itching can be treated with a small amount of an over the counter topical steroid cream. Another possibility would be rosacea, which is a redness of the skin of the cheeks and other areas associated with dilation of small blood vessels under the skin. It is often treated with topical or oral antibiotics. I suggest talking to your primary care doctor to have a firm diagnosis and decide which treatment option is best for you.
This answer is for general informational purposes only and is not a substitute for professional medical advice.
If you think you may have a medical emergency, call your doctor or (in the United States) 911 immediately. Always seek the advice of your doctor before starting or changing treatment. Medical professionals who provide responses to health-related questions are intended third party beneficiaries with certain rights under Zocdoc’s Terms of Service.

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