Hi all -

I’m 30F, and I’ve had this lovely rash developing over the last week or so.

Some relevant medical (and more) information for consideration:

\- I’ve been on a GLP-1 medication since June 2025 (injection), and have only recently began shedding hair noticeably (last \~2 months)

\- I recently increased the dose of sertraline I take

\- I recently began a beef organ supplement in pill form daily

\- I recently used a specific facial oil for the first time (Elemis Superfood)

\- I recently had cavities filled (no idea if this is relevant but it’s my face so)

\- I recently got a new body pillow that I’ve been sleeping with my regular pillows on top of

\- Pillowcases are being laundered today for the first time since noticing problems

\- No new detergents, shower products, etc

\- I take Spironolactone for cystic acne and rarely if ever get a pimple or any skin irritation (have been on it for 6+ years)

……………

Timeline:

It started with the spot on my chin and near my nose itching, which at the time I attributed to allergies.

Days later on Tuesday is when I first noticed the red mottled appearance on my forehead. The chin and nose spots were slightly scaly starting Tuesday. There is no longer any itching of any spots (and in fact I never experienced it other than the 2 original spots).

Just yesterday and today, I’ve tried to actively treat it after holding off to see if it improved on its own. Based on appearance and symptoms, yesterday (Weds) AM I initially applied some Triamcinolone Acetonide 0.1% cream that I’ve used with success on dishydrotic eczema. This didn’t seem to make it any better but also not any worse.

Last night (Weds PM) I tried treating it with an antifungal cream (Miconazole Nitrate 2%) and woke up to a face that looked worse.

…………

I don’t know what to do and I’m at a loss as to what it could be. Any thoughts or assistance would be so appreciated!

[30F] Unexplained rash/redness/patchiness on face - any help appreciated!