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Differential Diagnosis for Redness and Pain on Bridge of Nose

Single Most Likely Diagnosis

  • Rosacea: This is a common condition characterized by redness, inflammation, and sometimes acne-like lesions on the face, particularly on the nose, cheeks, and forehead. The symptoms can be exacerbated by sun exposure, stress, and certain foods.

Other Likely Diagnoses

  • Contact Dermatitis: An allergic or irritant reaction to substances like makeup, sunscreen, or glasses frames can cause redness and pain on the bridge of the nose.
  • Acne: Pimples or cysts on the nose can cause redness and pain, especially if they become inflamed or infected.
  • Sunburn: Prolonged sun exposure without adequate protection can lead to sunburn, causing redness and pain on the bridge of the nose.
  • Nasal Furuncle or Carbuncle: A bacterial infection of the hair follicles on the nose can cause a painful, red lump.

Do Not Miss Diagnoses

  • Cellulitis: A bacterial infection of the skin and subcutaneous tissues that can spread rapidly and become serious if not treated promptly.
  • Erysipelas: A type of bacterial infection that affects the upper layer of the skin, characterized by redness, swelling, and pain, often accompanied by fever and malaise.
  • Lupus: Systemic lupus erythematosus (SLE) can cause a butterfly-shaped rash across the nose and cheeks, which may be accompanied by other systemic symptoms.

Rare Diagnoses

  • Sarcoidosis: A condition characterized by the growth of granulomas (inflammatory cells) in various parts of the body, including the skin, which can cause redness and pain on the nose.
  • Granuloma Faciale: A rare skin condition that causes reddish-brown plaques or nodules on the face, particularly on the nose, due to inflammation of the blood vessels.
  • Wegener's Granulomatosis (Granulomatosis with Polyangiitis): A rare autoimmune disorder that can cause inflammation of the blood vessels, leading to symptoms such as redness and pain on the nose, as well as other systemic symptoms.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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