Facial rashes

Author: Hon A/Prof Amanda Oakley, Dermatologist, Hamilton, New Zealand, May 2016.

 

Introduction

Patients often present with quite mild signs when they have a facial lesion or rash — due to embarrassment — and the diagnosis may be tricky.

Significant itch suggests atopic dermatitis or contact dermatitis.

Face: erosions/crusting

Herpes simplex  

Herpes simplex

Herpes simplex

Herpes zoster 

Herpes zoster

Herpes zoster

Impetigo  

Impetigo

Impetigo

Dry or scaly rash

Seborrhoeic dermatitis 

Seborrhoeic dermatitis

Seborrhoeic dermatitis

Psoriasis 

Psoriasis

Psoriasis

Atopic eczema 

Atopic eczema

Atopic eczema

Contact eczema 

Contact eczema allergic

Contact eczema allergic

Contact eczema irritant

Contact eczema irritant

Photosensitive dermatitis  

Photosensitive dermatitis

Photosensitive dermatitis

Tinea faciei 

Tinea faciei

Tinea faciei

Tinea faciei

Tinea faciei

Actinic keratoses 

Actinic keratoses

Actinic keratoses

Cutaneous lupus erythematosus

Discoid lupus erythematosus 

Discoid lupus erythematosus

Discoid lupus erythematosus

 Lupus tumidus / Jessner lymphocytic infiltrate 

 Lupus tumidus / Jessner lymphocytic infiltrate

Lupus tumidus / Jessner lymphocytic infiltrate

Papulopustular rash

Acne 

Acne

Acne

Closed comedones

Closed comedones

Perioral/periorificial dermatitis 

Perioral/periorificial dermatitis

Perioral/periorificial dermatitis

Rosacea 

Rosacea

Rosacea

Pseudofolliculitis barbae 

Pseudofolliculitis barbae

Pseudofolliculitis barbae

Face: erythema

Erythema is less pronounced in dark skin

Dermatomyositis 

Dermatomyositis

Dermatomyositis

Flushing 

Flushing

Flushing

Sunburn 

Sunburn

Sunburn

Systemic LE 

Systemic LE

Systemic LE

Telangiectasia 

Telangiectasia

Telangiectasia

Face: brown macules/patches

Pigmentation is more pronounced in dark skin

Erythema dyschromicum perstans 

Erythema dyschromicum perstans

Erythema dyschromicum perstans

Melasma 

Melasma

Melasma

Post-inflammatory pigmentation 

Post-inflammatory pigmentation

Post-inflammatory pigmentation

Face: pale or white macules/patches

Guttate hypomelanosis 

Guttate hypomelanosis

Guttate hypomelanosis

Pityriasis alba 

Pityriasis alba

Pityriasis alba

Post-inflammatory hypopigmentation 

Post-inflammatory hypopigmentation

Post-inflammatory hypopigmentation

Vitiligo 

Vitiligo

Vitiligo

Skin lesions

Granuloma faciale 

Granuloma faciale

Granuloma faciale

Sarcoidosis 

Sarcoidosis

Sarcoidosis

Sebaceous hyperplasia 

Sebaceous hyperplasia

Sebaceous hyperplasia

Solar comedones 

Solar comedones

Solar comedones

Basal cell carcinoma 

Basal cell carcinoma

Basal cell carcinoma

Squamous cell carcinoma 

Squamous cell carcinoma

Squamous cell carcinoma

Adnexal tumours 

Birt-Hogg-Dubé syndrome

Birt-Hogg-Dubé syndrome

Milia  

Milia

Milia

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Watch Dr Amanda Oakley presenting "Skin lesion photography" at The Australasian Skin Cancer Congress.

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