Hello.
I am a 34 year old caucasian male, originally from Scotland but now living in Japan. I have a past history of Hodgkin's lymphoma (stage 3Bs) from which I am in sustained remission after receiving 6 months of ABVD chemotherapy. I have been all clear for 6 years now and believe that I'm in good health. I have no history of skin problems except prior to diagnosis of Hodkin's I was covered in itchy eczematous patches, that cleared up the moment chemotherapy started.
Over the past two months or so a small red patch keeps appearing on my left cheek, just below the eye. It's always in the same spot and is not in any way uncomfortable or different to normal skin in terms of sensation. It stays for about a week then starts to fade gradually, then once it has faded to almost nothing, it starts to reappear. It almost seems cyclical. I have tried to treat it with terbinafine 1% cream daily for a week with no effect, and I've also tried ketoconazole 2% cream with the same lack of results.
My first thought was that it was shingles, but since there is no pain and the patch is recurrent I have ruled this out. Next I considered it to be fungal, but since it was entirely unresponsive to two different types of antifungal, this seems unlikely too.
Given my medical history I think I will have to go to see a Japanese doctor, but this is very difficult as I live in a very rural part of the country and few speak English (and my Japanese is basic.)
Any help that anyone can offer would be greatly appreciated.