What is the cause of a recurrent red, flaky rash on the chest?

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Last updated: March 16, 2025View editorial policy

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Differential Diagnosis for Red Flaky Rash on Chest

Single Most Likely Diagnosis

  • Seborrheic Dermatitis: This condition is characterized by a red, flaky rash, often on the chest, and is known for its recurrent nature. It's a common skin condition that can be triggered by stress, cold weather, or certain products.

Other Likely Diagnoses

  • Atopic Dermatitis (Eczema): A chronic skin condition that can cause red, itchy, and flaky skin. It often appears on the chest and can be recurrent.
  • Contact Dermatitis: An allergic reaction or irritation caused by contact with certain substances, leading to a red, flaky rash on the chest.
  • Tinea Versicolor: A fungal infection that causes discolored, flaky patches on the skin, often on the chest, and can be recurrent.

Do Not Miss Diagnoses

  • Pemphigus: A rare autoimmune disease that can cause blistering of the skin, which may initially appear as a red, flaky rash. If missed, it can lead to severe complications.
  • Cutaneous T-Cell Lymphoma (Mycosis Fungoides): A type of skin cancer that can present with a red, scaly rash, often on the chest. Early diagnosis is crucial for effective treatment.
  • Lupus: An autoimmune disease that can cause a variety of skin rashes, including a red, flaky rash on the chest. Missing this diagnosis can lead to delayed treatment of a potentially serious condition.

Rare Diagnoses

  • Pityriasis Rubra Pilaris: A rare skin disorder that causes constant inflammation and scaling (exfoliation) of the skin, often starting on the chest.
  • Keratosis Follicularis (Darier's Disease): A rare genetic disorder that affects the skin, causing a red, flaky rash, often on the chest and other areas of the body.

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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