DEAR DR. GOTT: I am a 60-year-old cleaning lady. In January 2009, my face felt like it had menthol on it with a burning sensation on both cheeks that has continued 24 hours a day since then. Even the corners of my mouth burn. I went to a skin specialist three times. He prescribed Pramosone, Doxycycline and Prascion, none of which worked.
What kind of doctor do I go to next? I hope you can help me.
DEAR READER: I am confused why you experience symptoms now unless you have been exposed to an allergen, are on a new medication, herb or other supplement, or have had an unidentified occurrence in your life. Could you have undiagnosed rosacea or seborrheic dermatitis? Have you changed jobs and are exposed to central air conditioning or different cleaning agents? Did you get a new pet?
Pramosone is a hydrocortisone steroid, Doxycycline is an antibiotic and Prascion is an antibacterial agent. Your skin specialist appeared to cover all the bases but failed to alleviate your symptoms. Therefore, you should request referral to another dermatologist who can either correctly diagnose your condition or determine what is causing it and prescribe accordingly. Check with your local hospital to find someone who can make recommendations for a proper referral.
