Differential Diagnosis for 29yoM with Raised Papules near Eyes

Single Most Likely Diagnosis

• Blepharitis: A common condition characterized by inflammation of the eyelids, often presenting with raised papules or bumps near the eyes, usually due to meibomian gland dysfunction or an allergic reaction.

Other Likely Diagnoses

• Atopic Dermatitis (Eczema): Can cause raised papules and is often seen around the eyes due to allergic reactions or sensitivity.
• Contact Dermatitis: An allergic or irritant reaction to substances like makeup, soap, or other products that come into contact with the skin around the eyes.
• Milia: Small, white or yellowish bumps that can appear around the eyes due to keratin buildup under the skin.
• Papular Urticaria: An allergic reaction to insect bites, often presenting as raised papules.

Do Not Miss Diagnoses

• Basal Cell Carcinoma: Although rare in young individuals, it's crucial not to miss this skin cancer, which can present as a raised papule.
• Sarcoidosis: A systemic disease that can cause skin lesions, including papules around the eyes, and requires early diagnosis for proper management.
• Lupus: Systemic lupus erythematosus can cause a variety of skin manifestations, including papules around the eyes, and is critical to diagnose due to its systemic implications.

Rare Diagnoses

• Xanthelasma: Yellowish patches or bumps on the skin around the eyes, often associated with lipid disorders.
• Molluscum Contagiosum: A viral infection that causes small, pearly, or flesh-colored bumps, which can appear around the eyes.
• Keratoacanthoma: A low-grade, or sometimes benign, tumor of the skin that resembles a small volcano, which can appear near the eyes.