What is the diagnosis for an 8-year-old African American (AA) male presenting with scattered small papules on the forehead?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: May 29, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Differential Diagnosis for 8yo AA Male with Scattered Small Papules on Forehead

  • Single most likely diagnosis
    • Keratosis Pilaris: A common, benign skin condition characterized by small, rough papules on the skin, often on the forehead, cheeks, and arms. It's more prevalent in children and individuals with dry skin.
  • Other Likely diagnoses
    • Folliculitis: An inflammatory condition affecting the hair follicles, which can cause small papules or pustules on the forehead. It can be caused by bacterial, viral, or fungal infections.
    • Milia: Small, white or yellowish papules that occur when dead skin cells or keratin get trapped under the skin's surface. They're common in children and can appear on the forehead.
    • Eczema (Atopic Dermatitis): A chronic skin condition that can cause small papules, itching, and dryness on the skin, including the forehead.
  • Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
    • Meningococcemia: A rare but life-threatening condition caused by Neisseria meningitidis infection, which can present with a petechial or papular rash on the skin, including the forehead.
    • Syphilis: A bacterial infection that can cause a variety of skin rashes, including small papules on the forehead, especially in the secondary stage of the disease.
  • Rare diagnoses
    • Sarcoidosis: A systemic disease that can cause small papules or nodules on the skin, including the forehead, due to granulomatous inflammation.
    • Lichen nitidus: A rare skin condition characterized by tiny, shiny papules that can appear on the forehead, often accompanied by itching or skin discoloration.
    • Pityriasis lichenoides: A rare skin condition that can cause small, scaly papules on the forehead, often accompanied by itching or skin discoloration.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.