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A young man developed itchy, red papulopustules on his cheek. This skin condition may be linked to chronic blepharitis and its long-term treatment with antibiotic ointment.

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Area of Science:

  • Dermatology
  • Ophthalmology

Background:

  • A 23-year-old male with a history of chronic blepharitis and recurrent hordeolum presented with a 6-month history of facial papulopustules.
  • The patient had a history of oily skin and atopy (allergic rhinitis).

Observation:

  • Pruriginous and erythematous papulopustules were observed on the right cheek.
  • The blepharitis and hordeolum were treated with warm compresses and topical chloramphenicol ointment for approximately 2 years.

Findings:

  • The facial papulopustules developed subsequent to the prolonged topical antibiotic treatment for ocular conditions.
  • No photosensitivity, flushing, or prior exposure to immunosuppressants or corticosteroids were reported.

Implications:

  • This case highlights a potential link between long-term topical antibiotic use for blepharitis and the development of facial papulopustular eruptions.
  • Further investigation may be warranted to explore the dermatological side effects of chronic ocular medication use.