A comprehensive clinical examination is the basis for selecting further diagnostic steps:
- General physical examination – including blood pressure, pulse, body weight, height; furthermore:
- Inspection (viewing) of the skin [initially appearing erythema (skin redness) (center of face, rarely décolleté); later telangiectasias (vascular dilatation; couperosis), papules or pustules; still later growths of connective tissue and sebaceous glands]
- Dermatological examination [due todifferential diagnoses:
- Acne
- Bromoderma (drug reaction to bromine preparations).
- Gianotti-Crosti syndrome (synonyms: Acrodermatitis papulosa eruptiva infantilis, Infantile papular acrodermatitis) – disease believed to occur as a result of initial hepatitis B infection in children under ten years of age. Typical skin manifestations are episodic confluent reddish papules (nodular change on skin), preferably on the face, buttocks and extensor sides of the extremities excluding the crooks of the arms and knees.
- Iododerma (drug reaction to iodine preparations).
- Conjunctivitis (conjunctivitis) of other genesis (bacterial, viral, etc.).
- Lupoid perioral dermatitis (skin inflammation of unknown genesis associated with papules and pustules (pustules) located centrally on the face)]
[Rhinophyma (“bulbous nose”) (possible sequelae)]
- Ophthalmological examination [due topossible sequelae: Blepharitis (eyelid inflammation), keratitis (corneal inflammation), conjunctivitis (conjunctivitis)]
- Health check
Square brackets [ ] indicate possible pathological (pathological) physical findings.
