Differential Diagnosis for Upper and Lower Eyelid Swelling with Iron Redness
- Single Most Likely Diagnosis
- Blepharitis: This condition is characterized by inflammation of the eyelids, which can cause swelling, redness, and iron deposits (due to chronic rubbing or inflammation). It's a common condition that matches the symptoms described.
- Other Likely Diagnoses
- Allergic Conjunctivitis: This condition can cause eyelid swelling, redness, and itching, often due to an allergic reaction. The iron redness could be secondary to chronic inflammation or rubbing.
- Hordeolum (Stye): A localized infection or inflammation of the eyelid margin, which can cause swelling, redness, and sometimes an iron-like discoloration if there's associated bleeding or inflammation.
- Chalazion: A small bump on the eyelid due to a blocked oil gland, which can cause swelling and redness. While not typically associated with iron redness, chronic inflammation could potentially lead to such a presentation.
- Do Not Miss Diagnoses
- Orbital Cellulitis: A serious infection of the tissues surrounding the eye, which can cause eyelid swelling, redness, and potentially vision-threatening complications if not promptly treated. The iron redness could be indicative of severe inflammation.
- Herpes Zoster Ophthalmicus: Shingles affecting the eye, which can cause severe pain, swelling, redness, and potentially lead to complications like vision loss if not treated. The rash can sometimes have a reddish hue.
- Rare Diagnoses
- Sarcoidosis: A systemic disease that can cause granulomatous inflammation in various parts of the body, including the eyes. It might present with eyelid swelling and redness, though it's less common.
- Granuloma Faciale: A rare skin condition characterized by granulomatous inflammation, typically on the face, which could potentially involve the eyelids and cause swelling and redness.