skin rash around mouth, chin, and jawline  Last Week I started working on a pier in Galveston, and I started noticing that I had tiny pus-filled bumps around my mouth, which had spreaded to my cheeks chin and jaw line.  I didnt know for sure what it was,  so I  started to wash my face with dove soap and dried them out with rubbing alcohol.  It was starting to clear up now I just have it around my mouth but its not real bad.   I just want to know could this be a possible heat rash?  I had never had this before.
Hi. Thanks for the query. As per your complaint rash around the mouth that is spreading to chin and jawline seems to be due to Personal Dermatitis. It can be caused due to disturbances in microbial flora over the skin, bacterial infection, nasal and topical steroids, fluoridated toothpastes, harsh chemical cosmetics, poor facial hygiene, hormonal imbalances etc. I would suggest you to consult a Dermatologist and get evaluated, and he can do a thorough clinical evaluation and advise you to apply topically ointments containing Doxycycline, Metronidazole. You can also be advised oral intake of erythromycin. Ointments containing Gaelic acid, Pimecrolimus etc. can help. Avoid any skin cosmetic or steroid ointments. Avoid excess sun exposure, use gel based sunscreen lotion. Hope this information helps. Regards. Chat Doctor.