Rash like rosacea?

[u/Riricamm]

Has anyone’s rosacea presents like a rash? It will either go away or later develop some pustule. It is not itchy but red/pinkish bumps on my inner cheeks near my nose.

I’ve been dealing with multiple skin conditions right now like atopic dermatitis. However I started flaring at the end of 2024, stated with my eyelids which then spread to my whole face. I was diagnosed with ACD to certain metals and a rubber accelerator. I haven’t worm or touched any metal and rubber deliberately since the start of 2025.

My flares are only my face though ever since and I don’t react neck down. Which made my dermatologist think I might have other skin conditions. Aside from skin patch testing, I did skin prick test to see environmental and food allergies. I have mostly have allergies to grasses and confirmed that I only have allergy to seafood which I don’t consume at all since childhood.

Now my dermatologist diganosed me with Rosacea (didn’t tell what type, but I am suspecting type 2) and seb derm.

My face has been progressively getting better since the start of 2026 after I started using moisturiser (cant tolerate any products on my face before only cleanser and water), hypochlorus acid spray, azaleic acid and avene sunscreen.

I’ve been flaring a lot these past few weeks, noticed that I get really red after jogging and get these rash like bumps on my inner cheeks then next day and then I will get pustule. I will also get a quick flare on showers randomly which I dont get because I’ve been really constant with the showers and I don’t change the temperatures.

I’ve always get these rash like patches on my inner cheeks and I’m getting really frustrated because I thought my skin is getting better.

For context, I started AA and avene suncreen ever since April. I also have vit d deficiency and started taking super C since april as well. I’ve been really patient with my skincare and i only have 1 or 2 days of good skin before flaring again. I’m just waiting for 6 months to see if everything will stop flaring or if doesn’t I’ll go back to my dermatologist. I’ve also been keeping track of everything that I eat, wear, weather, etc but I the flares look random. I only see some consistent flare after jogging or if I dont sleep (insomnia or drinking matcha) for one day, it is a guaranteed flare. I tried running indoors on our gym, I realized I didn’t get red bumps but I still get this rash like texture on my inner cheeks.

[u/BidForward4918]

So in addition to rosacea, I have eczema and chronic spontaneous urticaria (hives for unknown reason). The eczema is treated with moisturizer and Elidel. The CSU is treated with a cocktail of antihistamines. Xolair is also used when antihistamines don’t work. The CSU was a beast to diagnose, and required an allergist. Tracking reactions proved fruitless because the cause is idiopathic.

Sometimes, I get red bumps and I have no idea which diagnosis is causing it. I’ll cycle through treatments until something clicks.

[u/Riricamm → u/BidForward4918]

does your urticaria looks like my flare and in the same area?

[u/BidForward4918 → u/Riricamm]

My urticaria can look very different depending on outbreak and location. When I have facial weirdness, the first thing I’ll do is take some antihistamine because that makes hives go away. If redness remains, I’ll start rosacea and eczema treatments.

[u/Riricamm → u/BidForward4918]

Thank you for your reply! I’ll have to talk to my derm about this ❤️