Facial rashes

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

 

Facial rashes

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 zoster 

Impetigo  

Dry or scaly rash

Seborrhoeic dermatitis 

Psoriasis 

Atopic eczema 

Contact eczema 

Photosensitive dermatitis  

Tinea faciei 

Actinic keratoses 

Cutaneous lupus erythematosus

Discoid lupus erythematosus 

 Lupus tumidus / Jessner lymphocytic infiltrate 

Papulopustular rash

Acne 

Perioral/periorificial dermatitis 

Rosacea 

Pseudofolliculitis barbae 

Face: erythema

Erythema is less pronounced in dark skin

Dermatomyositis 

Flushing 

Sunburn 

Systemic LE 

Telangiectasia 

Face: brown macules/patches

Pigmentation is more pronounced in dark skin

Erythema dyschromicum perstans 

Melasma 

Post-inflammatory pigmentation 

Face: pale or white macules/patches

Guttate hypomelanosis 

Pityriasis alba 

Post-inflammatory hypopigmentation 

Vitiligo 

Skin lesions

Granuloma faciale 

Sarcoidosis 

Sebaceous hyperplasia 

Solar comedones 

Basal cell carcinoma 

Squamous cell carcinoma 

Adnexal tumours 

Milia  

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

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