Differential Diagnosis for Small Red Papules on Upper Eyelids
Single Most Likely Diagnosis
- Blepharitis: This condition is characterized by inflammation of the eyelids, often resulting in small red papules, and can be chronic or recurrent. It's a common condition that matches the description provided.
Other Likely Diagnoses
- Demodex folliculitis: Caused by the Demodex mite, this condition can lead to small red bumps on the eyelids due to inflammation of the hair follicles.
- Eczema (atopic dermatitis): This is a chronic skin condition that can cause small, red, itchy papules on various parts of the body, including the eyelids.
- Contact dermatitis: An allergic or irritant reaction to substances like makeup, makeup removers, or certain chemicals can cause red papules on the eyelids.
- Rosacea: Although more commonly associated with the central face, rosacea can sometimes cause papules on the eyelids, especially in the context of ocular rosacea.
Do Not Miss Diagnoses
- Basal cell carcinoma: Although rare, basal cell carcinoma can present as a small, recurring red papule on the eyelid. Given its potential for local destruction and the importance of early treatment, it's crucial not to miss this diagnosis.
- Squamous cell carcinoma: Similar to basal cell carcinoma, squamous cell carcinoma is a type of skin cancer that can appear on the eyelids and must be considered in the differential diagnosis due to its potential severity.
Rare Diagnoses
- Sarcoidosis: A systemic disease that can cause granulomatous inflammation in various parts of the body, including the skin. It might present with small red papules on the eyelids, among other symptoms.
- Lupus miliaris disseminatus faciei (LMDF): A rare condition that can cause small, reddish-brown papules on the face, including the eyelids, due to a form of cutaneous lupus.
- Angiofibromas: Can appear as small, red or flesh-colored papules, often seen in tuberous sclerosis complex, a genetic disorder.