About Face

4. Erythematous papules, papulovesicles, and plaques appeared on sun-exposed surfaces of the skin.

Diagnosis: Polymorphous light eruption (PMLE) manifesting as erythematous papules over the cheek and dorsal aspect of the nose. Similarities between PMLE and rosacea include exacerbation by sun exposure and a higher prevalence in fair-skinned individuals.⁴ Also, in both conditions erythematous papules appear on the face and may be pruritic and in some instances painful; however, unlike rosacea, which is chronic, PMLE tends to be intermittent and recurrent, typically occurring in the spring and early summer months.

Read more about PMLE at The great mimickers of rosacea. Cutis. 2014;94(1):39-45.

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