Woman with facial rash

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Monday, April 1, 2019
How much has the price of insulin risen in the past 15 years? A year-old woman is distraught about the rash that has been present on her face for more than six months. The rash continues to burn and feel raw, despite the use of topical preparations of metronidazole and clindamycin, as well as a seven-day course of cephalexin mg bid. These had been given for diagnoses of acne, then rosacea, and finally, seborrhea. In desperation, the patient has stopped using all makeup, changed brands of facial tissue, and—at the suggestion of her sister—gone on a strict diet of only fresh, raw food. None of these measures has helped, although the condition has waxed and waned a bit.
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What is causing my rash?

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Facial rash in a year-old woman

Since the skin represents a common site of adverse drug reactions, few data are reported at this time regarding the development of skin rash during the treatment with antidiabetic drugs. We report a year old woman that developed a facial skin rash during the treatment with metformin. Clinical and laboratory findings excluded the presence of systemic diseases, but several diagnosis and many drugs were administered without clinical improvement. The self-dismission of metformin induced an improvement of symptoms, while the re-challenge documented an impairments of skin rash.
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Rosacea-like facial rash related to metformin administration in a young woman

A year-old woman presented with a facial rash that had worsened over nine months. She had been treated with several topical corticosteroids and topical antibiotics, which improved her symptoms only temporarily. She was taking no other medications.
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