A 37-year-old female who suffers from recurrent corneal erosions due to EBMD recently presented with a red, painful, itchy rash covering her face. She has shown sensitivity to various things before that presented as a rash, such as various antibiotics, face cremes, soaps, and cleaning supplies. We went through the list, removing all facial cremes, makeup, perfumes, and treated with oral steroids.
It improved while taking the steroids, and immediately returned after discontinuation. At this point, I said, “I think it is your CPAP mask.” I instructed her to walk into the office of the doctor where she got the mask and ask to speak to the nurse. My goal was for them to see the rash. Instead of doing this, she called her regular doctor and got an appointment three days later. She got more steroids and it improved while on the steroids, and promptly returned after discontinuation.
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