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Last updated: August 25, 2025View editorial policy

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Differential Diagnosis for Red Nose

  • Single most likely diagnosis
    • Rosacea: This is a common skin condition characterized by redness, acne-like symptoms, and visible blood vessels on the face, particularly the nose. The redness can be persistent and is often accompanied by other symptoms such as flushing and sensitivity.
  • Other Likely diagnoses
    • Acne: Inflammatory acne can cause redness on the nose due to the presence of pimples, pustules, or cysts.
    • Cold or allergies: Rhinitis, whether allergic or viral, can lead to a red, runny nose due to increased blood flow and inflammation.
    • Sunburn: Exposure to the sun without adequate protection can cause sunburn, leading to redness and sometimes peeling of the skin on the nose.
  • Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
    • Lupus: Systemic lupus erythematosus (SLE) can cause a butterfly-shaped rash across the cheeks and nose, which may appear red. Missing this diagnosis could lead to delayed treatment of a potentially serious autoimmune disease.
    • Sarcoidosis: This condition can cause granulomas to form in various parts of the body, including the skin, leading to red, raised patches on the nose among other symptoms.
  • Rare diagnoses
    • Carcinoid syndrome: A rare condition that can cause flushing and redness of the skin, including the nose, due to excessive production of certain chemicals by a tumor.
    • Erythema infectiosum (Fifth disease): A viral infection that can cause a distinctive "slapped cheek" appearance and may also lead to redness on the nose.
    • Basal cell carcinoma or other skin cancers: Although less common, skin cancers can present with redness, especially if they bleed or become inflamed.

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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