Facial Eczema: Or something else? Differential Diagnosis

Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99).

  • Tuberous sclerosis (Bourneville-Pringle disease)-genetic disorder with autosomal dominant inheritance associated with malformations and tumors of the brain, skin lesions, and usually benign (benign) tumors in other organ systems

Blood, blood-forming organs – immune system (D50-D90).

Skin and subcutaneous (L00-L99).

  • Acne excoriata – acne with scratching sequelae.
  • Acne
  • Allergic eczema or allergic contact dermatitis – see under “Allergic contact dermatitis“.
  • Drug exanthema – see under “Drug exanthema”.
  • Chloasma (melasma) – hyperpigmentation that occurs on the face.
  • Erythema infectiosum (ringworm).
  • Facies mitralis – cyanosis of the cheeks and lips in people with mitral stenosis (narrowing of a heart valve).
  • Folliculitis barbae – inflammation of hair follicles in the beard area.
  • Herpes simplex
  • Herpes zoster (shingles)
  • Impetigo (pus / crusty spot)
  • Perioral dermatitis (synonyms: Erysipelas or Rosacea-like dermatitis) – skin disease with planar erythema (redness of skin), red disseminated or grouped follicular papules (nodular change on skin), pustules (pustules), dermatitis (skin inflammation) of the face, especially around the mouth (perioral), nose (perinasal) or eyes (periocular); Characteristic is that the skin zone adjacent to the red of the lips remains free; age between 20-45 years; mainly women are affected; risk factors are cosmetics, prolonged local corticosteroid therapy, ovulation inhibitors, sunlight
  • Petechiae (punctate skin hemorrhages) – see “Purpura and petechiae” / skin and mucous membrane hemorrhages.
  • Pityriasis simplex – a common, non-contagious and usually harmless dermatosis that occurs mainly in children; it is manifested by dry, fine-scaly, pale patches that appear mainly on the face
  • Postinflammatory hypo/hyperpigmentation – hyper/hypopigmentation that may develop after healing of various skin diseases such as chronic eczema.
  • Psoriasis (psoriasis)
  • Rosacea – chronic inflammatory skin disease that manifests itself on the face.
  • Seborrheic eczemaskin rash (eczema) that occurs especially on the scalp and face and is usually associated with dandruff.
  • Stevens-Johnson syndrome (dermatostomatitis Baader) – skin disease leading to high fever and exanthema; probably caused by infection with mycoplasma or a result of drug allergy; symptoms: painful blisters in the mouth, throat and genital area and erosive conjunctivitis (inflammation of the conjunctiva)
  • Systemic lupus erythematosus (SLE) – systemic disease affecting the skin and connective tissue of the vessels.
  • Varicella (chickenpox)
  • Vitiligo (white spot disease)
  • Cellulitis – acute skin infection caused by bacteria.

Infectious and parasitic diseases (A00-B99).

Musculoskeletal system and connective tissue (M00-M99).

  • Dermatomyositis – disease belonging to the collagenoses, affecting the skin and muscles.

Medication

Further

  • Use of skin-irritating substances such as soap, peeling agents, and harsh or alcohol-based facial creams
  • Fragrances and perfumes in cosmetics and hair dyes.