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Sweating = Forehead breakout or rash?

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Hi guys,

I'm 37 and too old to be dealing with this crap! :)

Anyways, here over the last year or so, whenever I sweat (about the amount where it would get in your eyes or drip...so a longer workout or being outside and active for an hour or so) I break out in a horrible forehead rash or acne. The forehead will be clear before I start. Within 6 hours it will look like this.

I can't figure out a link, but if you go here, you'll see what I'm talking about... http://www.flickr.com/photos/27134659@N03/

Anyways, do you think it's acne? Could it be miliara? Any suggestions on treatment? Clearly, it is embarrassing.

Thanks for any suggestions...

Chris

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Hi Chris,

I'm 33 and my forehead looks just like your picture after being out in the hot sun or working out. It typically fades after 2-3 days and there's no sign that anything happened after that (until the next time I sweat again). This has been going on for about a year or so now. I've tried OTC acne creams like Clearisil, but nothing seems to take. My family physician is stumped. A dermatologist provided me with something stronger, but it only succeeded in burning my forehead. From surfing around, I thought that it might be a form of rosacea, but my physician disagrees. Have you had luck in finding out what is causing it or how to keep it from occurring?

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Do you have any other symptoms? Like mild itching, redness, scaly skin, dry skin, flaky skin. Any eye involvement like red eyes or dry eyelids. Any ear involvement like dry skin in the ears. Any bumps on the scalp under the hair or crusty dandruff-like skin bits on the back of the head on the scalp?

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Maybe you break out from sun exposure? You should try a moisturizer with spf in it


Status- CLEAR! It took a little bit linger than the "3 months" it's supposed to take, but im finally there. Differin has brightened up my complexion and whenever i do get the odd pimple its gone in two days tops. I love and am going to continue using Differin.

Regimen :

AM-

Oscion Cleanser(3%BP)

Clindamycin Phosphate lotion 1%

Olay Complete SPF 15 moisture lotion (sensitive skin version)

Throughout Day-

Clean and Clear Oil Absorbing Sheets (Differin makes my skin oily, this side affect will stop sooner or later)

PM-

Oscion Cleanser(3%BP)

Olay Complete SPF 15 moisture lotion (sensitive skin version)

Differin Cream .01%

Occasionally spot treat with Clinique's Emergency Gel-Lotion (5%BP) [PM only]


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I tried an experiment this weekend. I was sweating moderately-to-heavily for about 3-4 hours indoors with little to no sun exposure. I typically don't wear a hat or anything on my head. I'm male and the skin type on my forehead is typically dry. I washed my hair and face afterwards with a mild cleanser. The skin was still dry and no flare-up activity on my forehead, but I had a mild itching sensation on parts of my forehead. I went to bed about 8 hours later and I still looked fine. I woke up about 7 hours after that and my forehead had broken out again (all papules, no pustules). The breakout was moderate (looks very similar to the picture posted by Chris), but definitely not as severe as other outbreaks (some of the more severe episodes are when I'm in direct sunlight and sweating, which typically results in both red papules and pustules). Also, when I woke, I was lightly sweating and my forehead felt slightly oily. I only ever break out like this on my forehead, no activity anywhere else on my face. Also, its my entire forehead, not just the lower central portion that I've seen in some of the Rosacea pictures on the web (not sure if that's a factor).

Wistar, along the lines of what you're asking, I do tend to flush (predominately around my forehead). I don't have any eye involvement, but my ears tend to get one or two little crusty bumps on them occassionally (mostly around sun exposure). I also have one very small crusty bump that's present on my scalp, very near the top of my head. Whenever I scratch it off, after a few days it grows back in exactly the same spot.

I've scheduled an appointment in a week with a different dermatologist to see if he can provide a better diagnosis. Wistar, do you have any pictures that you could share? I'm perplexed as to what this could be and would appreciate anything you could tell or show me to help me figure this thing out. Also, how long have you had your condition? What do you do to cope with it?

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I tried an experiment this weekend. I was sweating moderately-to-heavily for about 3-4 hours indoors with little to no sun exposure. I typically don't wear a hat or anything on my head. I'm male and the skin type on my forehead is typically dry. I washed my hair and face afterwards with a mild cleanser. The skin was still dry and no flare-up activity on my forehead, but I had a mild itching sensation on parts of my forehead. I went to bed about 8 hours later and I still looked fine. I woke up about 7 hours after that and my forehead had broken out again (all papules, no pustules). The breakout was moderate (looks very similar to the picture posted by Chris), but definitely not as severe as other outbreaks (some of the more severe episodes are when I'm in direct sunlight and sweating, which typically results in both red papules and pustules). Also, when I woke, I was lightly sweating and my forehead felt slightly oily. I only ever break out like this on my forehead, no activity anywhere else on my face. Also, its my entire forehead, not just the lower central portion that I've seen in some of the Rosacea pictures on the web (not sure if that's a factor).

Wistar, along the lines of what you're asking, I do tend to flush (predominately around my forehead). I don't have any eye involvement, but my ears tend to get one or two little crusty bumps on them occassionally (mostly around sun exposure). I also have one very small crusty bump that's present on my scalp, very near the top of my head. Whenever I scratch it off, after a few days it grows back in exactly the same spot.

I've scheduled an appointment in a week with a different dermatologist to see if he can provide a better diagnosis. Wistar, do you have any pictures that you could share? I'm perplexed as to what this could be and would appreciate anything you could tell or show me to help me figure this thing out. Also, how long have you had your condition? What do you do to cope with it?

I don't think this is acne or rosacea. The only itchy acne-like papules on the forehead I know of could be scalp folliculitis or demodicidosis.

For me the itching is very significant and starts as a mild itch a few hours before the papules arrive and then intensifies when the papule is active, like having an itchy mosquito bite. I can get them anywhere on the forehead, upper cheek area and temples. Nothing around the mouth or jaw.

I find hot water makes the papules enlarge and redder. About 30 minutes after washing they will fade away or almost away.

I also get other symptoms such as mild blepharitis (my eye lash skin can look red at times) and sometimes I wake up with mild red eyes. I also have chronic dry skin in my outer ears, that clear up quickly with a little cortisone cream, but go dry again a week later. I also had slightly dry scaly skin in the areas where I repeatedly had the papules.

If it is itchy dry skin with acne and treatments for bacteria fail, try for yeast or mites. I am currently being treated for the mites. I am about 6 weeks in. So far it is going good and I am clear of all symptoms but it is too early yet to declare success. I wrote about the treatment on the rosacea group forum here.

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Maybe you break out from sun exposure? You should try a moisturizer with spf in it

I thought sweating is good.^^ but careful not to get ur skin burned from sun , will get worse.

u need Moisture and then u can sweat w.e u want

I use the one from practiv .. i use their other product also , all in 1 box. :)

it helps


Best way to make your skin smooth and clear eventually:

Plant-based diet is the best medicine for everything.. That's if you consume at least 80% raw, mainly from veggies and fruits.

Exercising: cardio is great for skin and lifting a bit.

Thinking positive and try not to stress or think about acne.

I am doing these and my skin is currently very smooth and clearing up!

I am a vegan raw 100%. I feel better, have more energy, saving animals a year, glow skin, I look younger, etc.


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It looks like milaria to me. I don't think it's so common on the forehead, but I recently got it on my forearms and it looked a lot like your picture and itched like hell. If you do put anything on your face, make sure it is oil-free as oils make the rash last longer. I think some people are prone to chronic heat/sweat rash. If you do use a moisturizer with SPF, make sure it's a light moisturizer.

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Went to the new dermatologist. Diagnosis: Rosacea. Started a prescription three month course of Oracea and 0.75% topical Metronidazole cream twice daily. Will keep posted as to progress. Already had two flare-ups and it seems like the Metro cream improved recovery time. Supposedly, the oral antibiotic takes about a month to kick in, so I'll post back then.

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I get acne too top of my forehead... got 2 big ones so far.. getting another one.. but my hair blocks it :D

could be cause of the hair...>_>


Best way to make your skin smooth and clear eventually:

Plant-based diet is the best medicine for everything.. That's if you consume at least 80% raw, mainly from veggies and fruits.

Exercising: cardio is great for skin and lifting a bit.

Thinking positive and try not to stress or think about acne.

I am doing these and my skin is currently very smooth and clearing up!

I am a vegan raw 100%. I feel better, have more energy, saving animals a year, glow skin, I look younger, etc.


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I am curious as to if you found out what this was. I am also 37 year old male and too old for acne as well but as of the past 2 years I have been getting the exact same breakouts. I thought maybe it was an allergic reaction to something so I stopped wearing hats, shaved my head aswell, stopped using haircare products and the rash keeps coming back every so often. I can admit that I did go to the gym and worked out the other day, got a nice sweat going but really, I have been sweating all my life, what could have possibly changed that would cause this breakout?

post-105832-1245443556_thumb.jpg

post-105832-1245443556_thumb.jpg

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Chris,

Did you have any luck figuring this out? I have the same exact thing on my forehead today. I worked outside yesterday and woke with the red rash just like your photo. It has happened a few times and I am getting fustrated myself.

Any updated information?

Jeff

Hi guys,

I'm 37 and too old to be dealing with this crap! :)

Anyways, here over the last year or so, whenever I sweat (about the amount where it would get in your eyes or drip...so a longer workout or being outside and active for an hour or so) I break out in a horrible forehead rash or acne. The forehead will be clear before I start. Within 6 hours it will look like this.

I can't figure out a link, but if you go here, you'll see what I'm talking about...

Anyways, do you think it's acne? Could it be miliara? Any suggestions on treatment? Clearly, it is embarrassing.

Thanks for any suggestions...

Chris

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Believe it or not, it could be related to whatever soap or cleanser you're using. That could be the culprit! Plus, I'd stay away from any oral antibiotics, that could just complicate matters as well.


Volvo For Life!


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I'm 27 and work at a well-known italian restaurant. For a little under a year now, almost every time I have a busy shift and sweat on my forehead, I get these symptoms within 1 1/2 to 2 hours of being there, in this order:

Note: Some of these symptoms may not be significant at all, but I'm going to be excruciatingly detailed anyway.

1) A mild, patchy numbness + prickling sensation on my forehead.

2) A rapidly spreading rash that starts right at the hairline (doesn't go beyond the hair - I've looked), and goes down towards my eyebrows. It's much more intense on the top part, and gets "spottier" as it continues down.

--If I wash my forehead and apply any kind of pressure with my hands in the process, the spots go away for a brief period - like 30 seconds - and then come right back. Washing really doesn't seem to do anything immediate, but I do "feel" a little better when I do it. I use cold, cold water for this as it feels much more soothing than hot.

--At this point, even where there are not actual red spots, there tend to be very light (almost imperceptible) patches of red that trace my eyebrows. My eyebrows can also tend to itch a bit.

3) After the rash has gone into full swing, I usually notice the numbness, tingling itchiness, and even some nausea.

4) Perhaps the most important part - it all goes away, completely, within 30 minutes of leaving the restaurant. But it just gets worse and worse while I am there.

--------------------------

All that being said, here are things I have considered.

A) This could be an allergy to something airborne at the restaurant, which seems to be triggered by heat and/or sweat. It could be some kind of allergy to soaps...with that in mind I have switched to all organic, no SLES, no SLS, no PARABEN products. Obviously it hasn't worked. Hell, it could even be the physiological changes that come with being "stressed," which leads me to B...

B) This could be a physical symptom of anxiety. Although I'm not an "anxious" person. I walk around laughing, joking, etc. I've worked in restaurants, as a server/bartender for over a decade and have never, ever, had anything like this happen, so that doesn't seem to make sense.

C) Coffee. Yes, no joke, I think coffee might be the enemy here. Check this out...as a test (I've done many to pin this damned thing down), I stopped drinking coffee for five days. In addition to feeling less hot while working, which I can only guess is due to the metabolic boost from caffeine and the side effect of it shrinking cappilaries, which in turn boosts blood pressure, which equates to greater friction in the body, and friction = heat.......you still with me? Anyway, I felt better, and the effects were _not_ as pronounced. However, one of my only sources of refined sugar comes from the creamer or sugar I put into my coffee. So, maybe that has something to do with it. Or the combination of the two. I really don't know.

One thing to note, which I think may have some kind of significance here, is that I also seem to have Fordyce spots. They are "harmless little spots" on the lips, or so I have read. However I think there may be some kind of relationship between them and the forehead. I can delve into that more later.

It all boils down to this: This condition is particularly debilitating to a restaurant worker, who has to deal with the public. No one wants the Toxic Avenger serving their food and drinks. So, I need a fix. Like NOW!

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wow dudarino, that is a bit strange. :think: If it didn't go away so quickly and wasn't accompagnied by nausea, I would've said that it sounds a lot like fungal folliculitis. It's an acne-like (and sometimes rash-like) eruption that usually spreads from the hairline, is characterized by numerous tiny pimples and is often quite itchy. Hot, humid weather makes it worse. You might want to look into it just to be sure.

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I have a similar problem...as I'm warming up in the gym I get a stinging sensation on the skin on my forehead. When I look in the mirror, the skin in this area is raised and off-color (i'm african-american). Asked the dermatologist about this and she says that it's probably Urticaria. I asked her to repeat the name slowly. She did and said that it can be treated with daily use of an anti-histimine; she suggested Claritin. Went home did research...She could of told me in layman terms that urticaria is hives. Upon further research found out that it's probably, if it's the right diagnosis, Cholinergic urticaria. Meaning the hives are brought on by a hypersensitive reaction to body heat.

Haven't tested the Claritin or store brand Claritin yet (Claritin ain't cheap) but the symptoms for me are spot-on.

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Try washing your face before doing any sort of activity that causes sweating. If you work out side and sweat all day, wash your face several times throughout the day if possible, or bring a cleansing cloth. This will keep all the dirt and debris from getting ingrained into your pores. You might want to check this out too: dermtv.com/preventing-acne-breakouts-adults

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Did anyone ever figure out what this rash on the forehead is? Or how to treat it? I only get it on my forehead and only after sweating. I will be dancing my forehead will get sweaty. I go home wash my face right away and think everything is fine. Wake up in the morning and can see the red spots. As the day progresses they get white heads on them and start to itch lightly and feel irritated. It does go away but it takes a few days. I have tried many things from changing shampoo's, facial soaps, scrubs, my hair is very short and I do not use hair products. I have noticed it seems worse when I have been touching my face with my hands when I sweat. But still happens. Is this possibly a symptom of another undetermined health problem. HELP....

Hi guys,

I'm 37 and too old to be dealing with this crap! :)

Anyways, here over the last year or so, whenever I sweat (about the amount where it would get in your eyes or drip...so a longer workout or being outside and active for an hour or so) I break out in a horrible forehead rash or acne. The forehead will be clear before I start. Within 6 hours it will look like this.

I can't figure out a link, but if you go here, you'll see what I'm talking about...

Anyways, do you think it's acne? Could it be miliara? Any suggestions on treatment? Clearly, it is embarrassing.

Thanks for any suggestions...

Chris

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I'm 38, male, and I've developed this same condition tonight. I have a forehead rash and dozens of tiny little whiteheads, isolated mostly at my temples. I do remember developing this same conidtion, just once, about four years ago, but I cannot remember the circumstances that may have lead up to that breakout. Hopefully, if I remember correctly, this issue cleared up after about 24 hours or so, without any treatment.

There are a couple recent factors within the last 48 hours that may have contributed to my current condition. One, I started a new job cooking in a professional kitchen yesterday. It was a slow night, and not too stressful, but maybe the newness of the job took more of a stressful toll than I realize. I did sweat some during dinner service, but not as much as when I would work out. Although I haven't cooked professionally in three years, this type of breakout was never an issue before (except for that one previous occurrence four years ago). The thing is, I had today off, and that's when the rash and whiteheads developed -- a good 24 hours since I ended my shift.

As for today, I was wearing a hat outside, so sun was not a factor, and I really didn't sweat at all. This is a hat that I've worn quite often without any previous problems, but who knows? In terms of diet, I did eat at a restaurant today where I had never been, but I ordered an item (falafel) that I have eaten dozens of times without incident. I can't think that there would be anything in the recipe that would cause an allergy, but again, who knows?

For treatment, I'm hesitant to use any moisturizer, or try anything new, because I don't want to compound the problem. I just washed my skin thoroughly with my regular body wash, and I'm going to wait it out tonight. Things seems to have been improving over the last hour or so, I think. Anyhow, sorry I don't have any answers or valuable insight, but thought I would share just the same. If I don't experience a noticeable improvement by tomorrow, I'll visit a dermatologist, but I've got my fingers crossed that the issue will go away like last time.

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In my opinion it looks like the sweat is just clogging your pores or perhaps that area of skin is not able to cope with the sweat production.

I would suggest bringing a few (3 or 4) clean headbands to the gym and putting on a new one after you have been sweating for a little while - these will help to absorb the sweat straight away and stop it lingering on your skin and forming bacteria and bad smells.

Secondly, i would suggest buying some wipes (namely Witch ones) and after the gym just using one or two of them to wipe down your forehead - these and very mild and will just help to get rid of the sweat and excess oil so make sure your forhead is completely clear.

I think you should try this out and report back because overall it will only cost a few $ and could save you a lot of grief :)

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Hi Chris

I also get this is a milder form that yourself.

Can I recommend a few things.

When you exercise, dont use hair products, gels, waxes etc. This may be sweating to your forehead and causing the infection.

If you do, try exercising without and see if helps.

Also are you on any vitamin tablets / liquids? These can sometimes cause adverse reactions. Come off all pills etc and see f your skin improves.

Use a towel at the gym that is clean and gently remove the sweat occassionally and after exercising, wash with water straight away and towel dry. Dont use cleansers on your forehead necessarily as this may also cause a reaction.

Hope this helps in any way.

Chris

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32 year old. First notice symptoms at about age 27. I seemed to become more sensitive to triggers as I got older. I did not have any significant problems with acne growing up. I do not use any special creams or soaps or facial lotions. I do not have an history of autoimmune disease or allergic reactions or atopy.

I have similar symptoms, and was written off as photosensitive rosacea at my first dermatologist visit. I felt it was most likely not this, but options for treatment were limited anyway. I use sunscreen on a regular basis.

Description of symptoms:

Any activity that increases my circulation to the point where I become flushed (running very hard for 30 mins for example) regardless of sun exposure (has happened as a result of running at 6am, 9am on trails, 7pm in the setting sun, or midnight) will present with flushing during activity, followed by a sensation of swelling 2-3 hours later, and by 4 hours tingling or occasional light pin pricks. By 8 hours, I have 10-20 erythematous papules appearing in a malar distribution, but largely limited to the Trigeminal Nervce branch 2 area, sparing the forehead, nose, orbits, jaw line chin and lips/philtrum. By 12 hours, I have upwards of 30-40 papules at various stages that produce a liquidy, clear to pearlescent fluid. If ruptured, generalized redness and swelling in the area of the rupture ensues.

Things that make it better: I have tried taking Aspirin 325mg alternating Ibuprofen 800mg q6 hours and this reduces the early onset (<6 hrs) redness, tingling, and discomfort. It does not seem to reduce the number of papules that eventually occur. Cold compresses help reduce the size of the papules as well as the redness and discomfort.

Things that make it worse: Sun exposure shortens the time to papule presence, tends to worsen the sensory discomfort substantially, and I am noticeably more sensitive to sun/heat on the exposed skin after the events begin to occur. Sunburn will cause flushing and thus these papules in and of itself. If I fall asleep before the papules erupt, (like an evening run followed by early bedtime) I will be awoken from sleep shortly after the papules normally appear in pain, and the rash appears to be larger on the side of the face I was sleeping on.

Things that are indifferent: I can sit at a pool for an hour, with SPF 50, and as long as I dont get sunburned or sweat, I will not get any symptoms. I have tested this several times. Sweat / flushing seems to be the strongest association with the eventual rash/papular formation.

Any thoughts?

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Hei

You guys, who's acne looks like an allergy, do a simple test. Take Claritine or some other allergy medicine for a few days, its just a pill a day and its not like You're loading up on a medication or somethind - see if that makes a difference.

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I have heard of this kind of sweating/rash being a symptom of mercury poisoning. Do you all have amalgam fillings? I noticed my forehead rash gets better if I put diluted garlic juice on it... later I was reading about mercury poisoning, and I can't remember if it was someone's blog or forum... someone who had mercury poisoning said they were getting a rash when they sweated, and they were able to alieviate it with (hopefully diluted) garlic juice. I've suspected mercury poisoning as being my problem for a while.

Of course garlic makes you smell... zesty! Especially if you sweat after you put it on.

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