Differential Diagnosis for 13-month-old with Face Rash to Eyes
- Single most likely diagnosis
- Eczema (Atopic Dermatitis): This is a common condition in infants, often presenting with a rash on the face, especially around the eyes, due to allergic reactions or sensitivities. The age and location of the rash make eczema a probable diagnosis.
- Other Likely diagnoses
- Allergic Contact Dermatitis: This could be due to an allergic reaction to products such as soaps, lotions, or even certain components in diapers, which come into contact with the skin around the eyes.
- Impetigo: A contagious bacterial skin infection that can cause red sores on the face, which can spread to the area around the eyes.
- Rosacea: Though less common in infants, it can cause a rash on the face, including around the eyes, often accompanied by redness and small bumps.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Herpes Simplex Virus (HSV) Infection: HSV can cause a severe infection around the eyes (herpes simplex keratitis), which, if not promptly treated, can lead to serious complications including blindness.
- Meningitis: Though the primary symptom is not typically a rash, some forms of meningitis can present with a rash, and given the severity of the disease, it's crucial to consider, especially if other symptoms like fever, irritability, or lethargy are present.
- Rare diagnoses
- Lupus: Systemic lupus erythematosus (SLE) is rare in infants and can cause a butterfly-shaped rash across the cheeks and nose, extending to the area around the eyes.
- Sarcoidosis: A condition that can cause skin rashes, among other symptoms, and though rare in infants, it can affect any age group.
- Kawasaki Disease: An illness that affects children and can cause a rash, among other symptoms like fever and swollen lymph nodes, though it typically doesn't target the area around the eyes specifically.