Hi I am 33 n always had acne prone skin. By now in life its mainly black heads n 2-3 white heads at a time. When I woke up Sunday morning I had red pimply rash on my face w 15-20 white heads. By Monday evening the rash was starting on my left shoulder. Shoulder itches, face not so much.  I havent changed anything not soap washing powders food nothing. I did get a lip piercing a week n a day prior to rash starting
Hi, You seem to have contact allergic dermatitis on face and left shoulder. There may be some cause. You have oily skin on face, and you are prone to develop acne on face. But the reddish rash on face and shoulder may be most probably allergic in origin. You consult dermatologist for firm diagnosis. After thorough history and examination he might give you perfect treatment. Culprit factor may be found out and removed to improve the condition. Antihistaminics, steroid in tampering doses and mild steroid cream may be considered to relieve the lesions. I hope this would be helpful to you. Thanks.