I’m a teenage Indian student in the UAE suffering from redness on my cheeks since I was in grade 8. Of late it has increased and I also experience a burning sensation.

First, it would be difficult to make an absolutely correct diagnosis based on the details in your letter.

Your skin complaints are definitely of an inflammatory origin. Skin inflammatory disorders can be of a wide range. It is unlikely to be rosacea as this particular condition usually affects people in the mid-30s and above. My suspected diagnosis of your skin problem is an eczema. Eczemas or dermatitis could be of various types as well as with variable clinical manifestations. Atopic Dermatitis (AD) is relatively more common type of eczema seen in people of your age.

Sebborheic Dermatitis should also be considered as one of the probabilities, however, again this is not very common in children of your age, and is usually associated with a scaly scalp (dandruff) as well.

Allergic Contact Dermatitis to some of the toiletries or body creams or lotions including moisturisers and even sunscreens will also need to be ruled out. Lastly, you should also be screened for any of the systemic autoimmune connective tissue disorders and some other skin involving rare ‘syndromes’ which can also be associated with a ‘red face’.

For now, you can try using 1% hydrocortisone topical cream or ointment for one to two weeks. At the same time, I would strongly recommend an avoidance to sun exposure as well as not to use any of the previous skin care products under your use.

Consult an experienced dermatologist at the earliest to establish a more definite diagnosis. This will surely make the treatment selection more accurate and more effective.