I have small red bumps which are more prevalent in certain areas on my face, near the cheekbones and besides my eyes temple areas. Some days, they are more prominent and other days they might subside a little but they are never gone. It has been like this for almost two months and I never experienced this before. At first I thought it's damaged skin barrier due to use of skincare actives but the condition does not spread to other areas or get worse than my "prominent" days so I ruled out this possibility. I was put on azelaic acid and metronidazole gel for about two weeks now but things don't get any better or worse. Coud it be demodicosis?
Based on your description of small red bumps that are most prominent near the cheekbones and temple areas, and considering that you've been using azelaic acid and metronidazole gel for about two weeks without any significant improvement, it is possible that your condition could be related to demodicosis, which is caused by an overgrowth of Demodex mites. However, a proper diagnosis requires a thorough clinical evaluation.
Demodicosis often presents as redness, bumps, and sometimes a burning sensation, commonly affecting areas like the cheeks, nose, and forehead. While azelaic acid and metronidazole are commonly prescribed for conditions like rosacea or inflammatory acne, they may not always be effective in cases where Demodex mites are the underlying cause.
We recommend scheduling an appointment with one of our dermatologists for a more in-depth examination. During this consultation, we will evaluate your skin condition, consider other potential causes, and possibly conduct a skin scraping or microscopic examination to check for Demodex mites or other underlying conditions.
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