What is the diagnosis of a rash on the neck of a 45-year-old woman?

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Differential Diagnosis for Rash on Neck of 45 yo Woman

  • Single most likely diagnosis
    • Contact dermatitis: This is a common condition that can occur when the skin comes into contact with an irritant or allergen, such as jewelry, soap, or lotion, which can cause a rash on the neck.
  • Other Likely diagnoses
    • Eczema (atopic dermatitis): A chronic skin condition characterized by dry, itchy, and inflamed skin, which can occur on the neck.
    • Psoriasis: An autoimmune condition that can cause red, scaly patches on the skin, including the neck.
    • Seborrheic dermatitis: A condition that causes a red, itchy rash on oily areas of the body, such as the neck.
  • Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
    • Lyme disease: A bacterial infection transmitted by tick bites, which can cause a distinctive rash on the neck, known as erythema migrans.
    • Tuberculosis: A bacterial infection that can cause a rash on the neck, as well as other symptoms such as fever and weight loss.
    • Meningitis: A rare but life-threatening condition that can cause a rash on the neck, as well as symptoms such as fever, headache, and stiff neck.
  • Rare diagnoses
    • Sarcoidosis: A condition that can cause inflammation and rashes on the skin, including the neck.
    • Pityriasis rubra pilaris: A rare skin condition that causes a rash on the neck, as well as other areas of the body.
    • Cutaneous T-cell lymphoma: A rare type of cancer that can cause a rash on the neck, as well as other symptoms such as fever and weight loss.

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.

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