Differential Diagnosis for Crustiness around Eyelid and Red Rash around Eyes
Single Most Likely Diagnosis
- Blepharitis: This is an inflammation of the eyelids that can cause crustiness, redness, and swelling. It's a common condition often associated with poor eyelid hygiene, meibomian gland dysfunction, or rosacea.
Other Likely Diagnoses
- Conjunctivitis: Also known as pink eye, this condition can cause redness, itching, and discharge that may lead to crustiness around the eyelids. It can be viral, bacterial, or allergic in nature.
- Eczema (Atopic Dermatitis): This is a chronic skin condition that can cause dry, itchy, and inflamed skin, including around the eyes, leading to redness and possibly crustiness.
- Allergic Contact Dermatitis: An allergic reaction to substances like makeup, contact lens solution, or other products used around the eyes can cause redness, itching, and a rash.
Do Not Miss Diagnoses
- Herpes Zoster (Shingles): Although less common, shingles around the eye (herpes zoster ophthalmicus) can cause a painful rash and potentially lead to serious complications like vision loss if not promptly treated.
- Keratitis: An inflammation of the cornea that can be caused by infection or injury. It's crucial to diagnose and treat promptly to prevent vision loss.
- Orbital Cellulitis: A serious infection of the tissues surrounding the eye that can cause redness, swelling, and pain. It requires immediate medical attention to prevent serious complications.
Rare Diagnoses
- Sarcoidosis: A condition that can cause inflammation in various parts of the body, including the eyes, leading to uveitis, conjunctivitis, or eyelid swelling.
- Lupus: Systemic lupus erythematosus can cause a variety of eye symptoms, including a red, painful rash around the eyes, though this is less common.
- Graft-Versus-Host Disease (GVHD): In individuals who have undergone bone marrow or stem cell transplants, GVHD can cause a range of symptoms, including skin and eye problems like conjunctivitis and keratoconjunctivitis sicca.