Differential Diagnosis for Painful Rash of the Breast and Stomach
Single Most Likely Diagnosis
- Herpes Zoster (Shingles): This is a common condition that can cause a painful rash, often affecting one side of the body. The rash can appear on the breast and stomach areas, following a dermatomal distribution. The pain associated with shingles can be severe and precede the rash.
Other Likely Diagnoses
- Contact Dermatitis: An allergic reaction or irritation from substances like soaps, detergents, or metals can cause a painful rash on the skin, including the breast and stomach areas.
- Eczema (Atopic Dermatitis): A chronic condition characterized by itchy, inflamed skin. It can appear anywhere on the body, including the breast and stomach, and can be painful.
- Insect Bites or Stings: Reactions to insect bites or stings can cause painful rashes in affected areas.
Do Not Miss Diagnoses
- Breast Cancer with Skin Involvement: Although rare, advanced breast cancer can cause skin changes, including a painful rash. Early detection is crucial for treatment.
- Necrotizing Fasciitis: A severe bacterial infection that can cause pain, swelling, and rash. It's a medical emergency requiring immediate attention.
- Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis: Severe skin conditions usually triggered by medications, leading to widespread skin necrosis and detachment. They are life-threatening and require immediate medical intervention.
Rare Diagnoses
- Pemphigus: A group of rare skin disorders that cause blistering of the skin and mucous membranes. It can be painful and may appear on the breast and stomach.
- Dermatomyositis: An inflammatory disease characterized by skin rash and muscle weakness. The rash can appear on the breast and stomach among other areas.
- Erythema Multiforme: An immune-mediated disorder that can cause target-like lesions on the skin, sometimes painful, and can be triggered by infections or medications.