Differential Diagnosis for 34 yo Female Patient with Blisters on the Neck
- Single most likely diagnosis
- Herpes Zoster (Shingles): This is the most likely diagnosis given the presentation of blisters on one side of the neck, which is a common area for shingles to occur. The patient's complaint of pain also supports this diagnosis, as shingles is often accompanied by significant pain.
- Other Likely diagnoses
- Contact Dermatitis: This could be a possible diagnosis if the patient has come into contact with an irritant or allergen while in prison, leading to a blistering rash on the neck.
- Impetigo: A highly contagious bacterial skin infection that can cause blisters and is common in crowded living conditions such as prisons.
- Eczema (Atopic Dermatitis): Although less likely to present with blisters, eczema can cause significant discomfort and pain, and the patient's stress and environment in prison could exacerbate the condition.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Necrotizing Fasciitis: A rare but life-threatening infection that can cause pain, swelling, and blisters. Although unlikely, it is crucial to consider this diagnosis due to its high mortality rate if left untreated.
- Sepsis: If the blisters are a sign of a more severe infection, sepsis could be a potential diagnosis. It's essential to monitor the patient's vital signs and overall condition to rule out sepsis.
- Rare diagnoses
- Pemphigus: A rare autoimmune disease that causes blistering of the skin and mucous membranes. Although unlikely, it's essential to consider this diagnosis if other more common causes are ruled out.
- Bullous Pemphigoid: Another rare autoimmune disease that causes blistering of the skin, which could be a possibility in this patient.