What is the diagnosis for a circular skin lesion present for 15 months?

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Differential Diagnosis for Circular Skin Lesion

Single Most Likely Diagnosis

  • Tinea corporis (ringworm): a common fungal infection that causes circular, itchy, and scaly skin lesions, often seen in children and adolescents.

Other Likely Diagnoses

  • Eczema (nummular dermatitis): a type of skin inflammation that can cause circular, itchy, and scaly lesions, often triggered by dry skin or allergies.
  • Psoriasis: a chronic skin condition that can cause circular, scaly, and inflamed lesions, often accompanied by other symptoms like joint pain or nail changes.
  • Contact dermatitis: a skin reaction to an allergen or irritant that can cause circular, itchy, and inflamed lesions.

Do Not Miss Diagnoses

  • Lyme disease: a bacterial infection transmitted by ticks that can cause a circular, expanding skin lesion (erythema migrans), which can lead to serious complications if left untreated.
  • Malignancy (e.g., basal cell carcinoma, squamous cell carcinoma): although rare, skin cancers can present as circular lesions, and early detection is crucial for effective treatment.

Rare Diagnoses

  • Sarcoidosis: a systemic disease that can cause circular, skin lesions, often accompanied by other symptoms like lung or eye involvement.
  • Leishmaniasis: a parasitic infection that can cause circular, skin lesions, often seen in travelers to endemic areas.
  • Granuloma annulare: a rare skin condition that causes circular, bumpy lesions, often seen in children and adolescents.

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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