Differential Diagnosis for Yellow Pustule on Lip
Single Most Likely Diagnosis
- Herpes Simplex Virus (HSV) Infection: This is the most common cause of a yellow pustule on the lip, often presenting as a cold sore or fever blister. The appearance of a yellow pustule is due to the body's immune response to the virus, leading to inflammation and pus formation.
Other Likely Diagnoses
- Impetigo: A bacterial infection of the skin that can cause pustules, including on the lip area. It's highly contagious and can be caused by Staphylococcus aureus or Streptococcus pyogenes.
- Folliculitis: An inflammation of the hair follicles that can lead to pustule formation. On the lip, this could be related to ingrown hairs or bacterial infection.
- Acne Vulgaris: Although less common on the lip, acne can cause pustules. This would be more likely if the individual has a history of acne.
Do Not Miss Diagnoses
- Erysipelas: A type of bacterial infection involving the upper dermis, typically caused by Streptococcus bacteria. It can present with well-demarcated, red, and sometimes pustular lesions. Missing this diagnosis could lead to severe consequences, including spread of the infection.
- Cellulitis: An infection of the skin and subcutaneous tissues, which can present with redness, swelling, and sometimes pustules. It requires prompt antibiotic treatment to prevent serious complications.
Rare Diagnoses
- Mycobacterial Infection: Certain mycobacterial species can cause skin infections that might present with pustules, although this would be uncommon on the lip.
- Syphilitic Chancre: The primary stage of syphilis can present with a single, painless chancre, which might occasionally appear as a pustule. However, this is less common and typically not painful.
- Leishmaniasis: A parasitic infection that can cause skin lesions, including pustules, though it's rare in areas without endemic disease and would typically have a history of travel or exposure.