Differential Diagnosis for Raised and Red Bumps on Face of 8-Month-Old Girl
Single Most Likely Diagnosis
- Eczema (Atopic Dermatitis): This is a common condition in infants, characterized by itchy, inflamed skin that can appear as raised and red bumps. The face is a frequent site of involvement, especially in infants.
Other Likely Diagnoses
- Acne: Neonatal acne or infantile acne can occur due to hormonal influences and can present as red bumps on the face.
- Keratosis Pilaris: A benign condition that causes small, rough, sandpaper-like bumps on the skin, often on the cheeks, which can be red and inflamed.
- Allergic Contact Dermatitis: An allergic reaction to something that has come into contact with the skin, such as a skincare product, metal, or plant, leading to red, itchy, and raised bumps.
- Impetigo: A contagious skin infection that can cause red sores or blisters on the face, often accompanied by a yellowish crust.
Do Not Miss Diagnoses
- Meningococcemia: Although rare, this condition can present with a rash that may initially appear as red bumps and can rapidly progress to a more severe, life-threatening condition. Early recognition is crucial.
- Staphylococcal Scalded Skin Syndrome (SSSS): Caused by staphylococcal toxins, SSSS can present with red, blistering skin that looks like burns, and can be life-threatening if not promptly treated.
Rare Diagnoses
- Infantile Hemangiomas: Benign vascular tumors that can appear as red bumps or lesions on the face, though they typically have a more characteristic appearance and growth pattern.
- Granuloma Faciale: A rare skin condition that can cause single or multiple reddish-brown plaques or nodules on the face, more commonly seen in adults but can occur in children.
- Sarcoidosis: A condition that can cause skin lesions, among other symptoms, though it is exceedingly rare in infants and would be an unusual diagnosis in this age group.