Are the erythema and roughness on a young girl’s cheeks treatable?

Dermclinic
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Case: This 11-year-old girl is concerned about the persistent redness and roughness of her cheeks, which she has had since age 7 years. She is especially concerned about the social impact of these skin changes. The erythema is accentuated with exercise and anxiety, and the roughness becomes more pronounced in winter. The skin of her upper arms is similarly rough. Her mother has the same skin texture of the upper arms. The child has tried many over-the-counter topical medications with no success.

What is this eruption—and can treatment improve the look and feel of the patient’s skin?

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