A crimson papular rash on the eyelids What is the cause of this irritable rash and how should it be treated? Case history A 28-year-old woman presented with a five-month history of a crimson papular rash about and around the eyelids of her remaining eye . She described a burning irritation than itch rather. She had not been atopic. The rash didn’t settle by changing and then stopping using her facial cosmetics. Initially she had experienced partial rest from 1 percent hydrocortisone cream, but this soon stopped. For the next three months she had applied 0.1 percent mometasone furoate cream daily, which cleared the rash at first. Continued use of mometasone furoate helped partially, but the rash held recurring whenever it was ceased.Patient randomization and recruitment and collection of outcome data were conducted by the NSABP. Participating sites delivered sentinel-lymph-node blocks to the University of Vermont for an evaluation that was funded by the National Cancer Institute. These data had been linked with trial end result data by the NSABP, were used in the University of Vermont in a format that removed identifying characteristics of the individuals, and were analyzed by the second author. Results Characteristics of the Patients A total of 5611 females with operable, clinically node-negative, invasive breast cancer were randomly assigned to either sentinel-lymph-node biopsy in addition axillary sentinel-lymph-node or dissection biopsy alone.