Differential Diagnosis for Sore in Nare
Single Most Likely Diagnosis
- Nasal Vestibulitis: This is an inflammation of the nasal vestibule, often caused by bacterial infections such as Staphylococcus aureus. It's a common condition that can cause a sore or painful sensation in the nare.
Other Likely Diagnoses
- Folliculitis: An inflammation of the hair follicles in the nose, which can be caused by bacterial or fungal infections. It presents with small, pus-filled bumps and can be painful.
- Furuncle or Boil: A localized skin infection, usually caused by Staphylococcus aureus, that can occur in the nose. It appears as a painful nodule or pustule.
- Nasal Dryness or Irritation: Dry air, allergies, or irritants can cause soreness and discomfort in the nasal area.
Do Not Miss Diagnoses
- Nasal Septal Perforation: Although less common, a perforation in the nasal septum can cause pain, crusting, and bleeding. It's crucial to diagnose and treat to prevent further complications.
- Squamous Cell Carcinoma or Other Malignancies: Though rare, any persistent or non-healing sore in the nasal area should be biopsied to rule out cancer.
- Invasive Fungal Sinusitis: Especially in immunocompromised patients, this can present with nasal pain, discharge, and facial pain. It's life-threatening if not promptly treated.
Rare Diagnoses
- Leprosy (Hansen's Disease): A chronic bacterial infection that can affect the skin and nerves, including those in the nasal area, causing sores and lesions.
- Granuloma Faciale: A rare skin condition characterized by single or multiple nodules, usually on the face, including the nose, which can be painful.
- Wegener's Granulomatosis (Granulomatosis with Polyangiitis): A rare autoimmune disorder that can cause inflammation of the blood vessels, including those in the nasal area, leading to sores and other symptoms.