Differential Diagnosis for White Bumps on Bilateral Cheeks
- Single Most Likely Diagnosis
- Milia: These are small, white bumps that appear on the skin, often on the cheeks, due to keratin accumulation. They are common and usually harmless.
- Other Likely Diagnoses
- Fordyce spots: These are small, white or yellowish bumps on the cheeks, lips, and genital area, caused by the abnormal presence of sebaceous glands in the mucous membrane.
- Keratosis pilaris: A condition characterized by the appearance of small, white or light-colored bumps on the skin, often on the cheeks, due to the buildup of keratin.
- Acne: Specifically, closed comedones (whiteheads) can appear as white bumps on the cheeks.
- Do Not Miss Diagnoses
- Sarcoidosis: A systemic disease that can cause skin lesions, including bumps on the cheeks, and can be life-threatening if not treated properly.
- Lupus miliaris disseminatus faciei (LMDF): A rare form of cutaneous lupus that presents with small, reddish-brown or white bumps on the face, including the cheeks.
- Rare Diagnoses
- Lichen nitidus: A rare skin condition characterized by tiny, shiny, flat-topped bumps on the skin, which can appear white.
- Trichoepithelioma: A rare skin condition that causes small, white or skin-colored bumps on the face, including the cheeks, due to the abnormal growth of hair follicles.
- Multiple syringomas: A rare condition where small, white or yellowish bumps appear on the skin, often on the cheeks and lower eyelids, due to the abnormal growth of sweat glands.