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Over the last few years, my face started becoming very itchy and red, causing me much aggravation and suffering. Medication provided initial relief, but then stopped working. After lengthy suffering, countless visits to dermatologists, and a tremendous stockpile of various prescription medications in my bathroom, I finally discovered the cause and am thrilled to have my skin healthy again.
Since I searched numerous dermatological forums with no luck, I’m posting this in hopes I can save some people a lot of heartache and trouble. Although, I written the whole story below, I’m going to give you the bottom line right now:
I’d developed a sensitivity to propylene glycol and/or parabens. Both these ingredients are in 99% of the products we all put on our faces.
Prior to discovering the cause, I was misdiagnosed and told over and over again by doctors and physician’s assistants that I could do nothing about it except find a prescription medication that worked for me, and then, at best it would only control the itchiness and redness, not cure it.
I want to stress that you may suffer from a skin condition different from the one I was misdiagnosed with, so who knows if my story will help you. I do know that had I accepted what the doctor told me, I’d still be suffering, so you owe it to yourself, no matter what the diagnosis is, to think for yourself and do the research to ensure there are not alternate solutions or perhaps other culprits that may cause your condition versus what your doctor says.
Here’s a bit of background:
-It started as a slight redness to my facial skin, mostly cheeks, that itched a lot
-At its worse, toward the end, my face would burn when I sweated when working out, which I do often
-Dermatologist diagnosed it as seborrheic dermatitis and said there was no cure, only control
-Doctor initially prescribed desonide lotion, which worked quite well. He also gave me anti-fungal creams, which didn’t work as well as the desonide
-The doctor cautioned me not to use it too much desonide due to the steroid in it. He said once a day was fine
-I used for a year or so and it kept my skin looking decent until I noticed that I seemed to need to use it more often.
-I also educated myself about topical steroids and became concerned that I was using too much, but whenever I’d try to wean myself from it, my skin was itchier and redder than it ever had been before
-Voicing my concerns to the doctor, or one of his PAs, prescribed other medications to try including Xolegel, Ketoconazole 2% Cream, and others
-Every time I time I tried to stop the desonide, and only use one of the anti-fungal creams, my skin flared up and became inflamed.
-I went to an allergist to see if I was allergic to anything and all tests came back negative
-Over time, the redness and itchiness had spread to my forehead, nose as well.
Finally, at wit’s end, I went to another dermatologist for a second opinion. I told her I just didn’t believe that there was nothing that could be done for my skin and I really wanted her to keep an open mind when diagnosing me. Plus, I didn’t seem to have the scaling that other’s had for seborrheic dermatitis. It had to be something else.
She took her time with me and really scrutinized my skin. I told her all the medications I’d tried. At first she thought it could be steroid induced rosacea from the topicals I’d been using. I agreed to stop the topical steroids although she warned me that my skin may get worse before it got better. She also told me to wash with Cetaphil cleanser and then put Cetaphil cream on my face after washing.
I did as she ask, but it didn’t get better. And I noticed that when I put the Cetaphil cream on, my face flared up even worse. I tried other lotions, many of them my wife’s facial lotions that were supposed to be good, or so I thought, such as Clinique’s dramatically different moisturizing lotion, Philosophy’s Hope in a Jar, Aveeno, and others. All had the same reaction, to inflame my face.
I finally sucked it up and put nothing on my face, but in addition to my face being read, and very itchy it was also supremely dry. But in doing so, with the redness in full bloom, it allowed me to see a pattern on my face. I had no problem with the skin around my eyes, or on my neck. I realized then, the redness was only in the areas where I always put lotion on my face, whether it was the desonide or some other lotion.
Even though my initial itchiness and redness had been on the checks, I had become so dependent on the topical steroid, that anytime I had any redness elsewhere, like forehead, or nose, I started using it there also.
When I pointed this out to my new dermatologist, something clicked, and she said she now thought I had developed a sensitivity to propylene glycol (which is the same thing they use in anti-freeze) and/or parabens. She gave me samples of EpiCerem, but told me it was a bit expensive and to try to find lotions that did not have the PG and parabens in them.
Here’s the kicker: I went home and check all the ingredients of the prescription medicines and all the lotions I’d used, including the Cetaphil products. They all had propylene glycol in them—desonide, anti-fungal creams, Cetaphil products, Clinique’s moisturizer. The Aveeno didn’t, but it had parabens.
I believe the propylene glycol in the desonide was really doing a number on my face for a long time, however, because the steroid reduced redness, it was hidden. So over time, I was damaging my skin, but unaware because the steroid masked it.
I searched high and low for products without propylene glycol and parabens in them, but they are very difficult to find. One product was Malibu C’s sensitive Skin Oil Free Moisterizer:
***edited by moderator*** web addresses not allowed
I finally settled on Exederm’s moisturizer and baby wash:
***edited by moderator*** web addresses not allowed
Using propylene glycol and paraben-free products have made all the difference in the world to my skin. However, I’m always paranoid that products I like will get discontinued so I’m searching for alternatives.
I hope this helps people and I’m interested to know of other products that are propylene glycol and paraben-free. I even changed the hair gel I used to a propylene glycol-free one and now my head itches much less.
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I have the same symptoms, i had supper sunday night and my wife noticed a rash i though nothig of it. she went out and came back later that evening and my face was swollen and red. I have gone to the hospital and they gave me benadryl and that seems to do othing, the doctor also prescribed hydrocortison cream. I hope that works. I dont have strep throat , stress is the same so I am not sure what it could be,at first i thought it as a food allergy. I cn relate to everyone the most bothersome thing for me is thatI don wana go out in public looking like a grapefruit. Face ll swollen and red.
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Thank you for this information. I've been struggling for about 4 years with similar symptoms. I've given up all creams, and have limited myself to shampoo, conditioner and hand soap. I have also given up wine and all spirits as they make it worse. Today is a bad day. But, given your thoughts and ideas, shall check out the ingredients in the cleansers I do use. Thank you very much for providing us with your story. Best!
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I have something similar the only thing is that my symptoms come every now and then it stays for about a week then goes away and then it just reappears. I put cortisone cream, blue star, and aquaphor but nothing helps. I have always beed real sensitive to the sun. I think I may be one of the only african americans that get severe sunburn even with sun blocker. I make sure I dont go into the sun. The way theese welts are on my cheaks and nose this is exactly how it feels when i get sunburned. I need help.
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I had the same thing, was given an oral steroid to get the swelling down and told I had a severe allergy to something. I maintained that I did not have an allergy but didn't know what caused it. The steroid would make it go down but I would swell back up again after a week. Eventually I found out I had a staph infection which, I was given some anti biotics and it never came back.
I'm sorry you're going through this it's really stressful but you'll be ok soon. When you see the doctor ask for an emollient cream as well so when you get rid of the swelling you can get your skin back in good condition. I used diprobase cream, then, when all the redness was gone, I used a little olive oil all over my face before bed. Avocado oil is amazing but more expensive. All the best.
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