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Differential Diagnosis for Brown Mark on Cheek

Single Most Likely Diagnosis

  • Melasma: This is a common condition characterized by patches of brown or gray skin, typically on the face, and is often associated with hormonal changes or sun exposure.

Other Likely Diagnoses

  • Solar Lentigines (Liver Spots): These are benign spots that appear as a result of sun exposure, and they can resemble brown marks on the cheek.
  • Post-Inflammatory Hyperpigmentation (PIH): This condition occurs after inflammation or injury to the skin, leading to brown marks or discoloration.
  • Cafe-au-Lait Macules: These are benign spots or patches that range in color from light brown to chocolate brown and can appear anywhere on the body, including the cheek.

Do Not Miss Diagnoses

  • Malignant Melanoma: Although less likely, it is crucial to consider melanoma, especially if the brown mark is asymmetric, has irregular borders, color variation, diameter larger than 6mm, or is evolving.
  • Dermatofibroma: A benign growth that can appear as a brown mark, but it's essential to rule out more serious conditions.

Rare Diagnoses

  • Naevus of Ota: A rare condition characterized by hyperpigmentation, typically on one side of the face, including the cheek, due to melanin deposition in the dermis.
  • Ephelides (Freckles): While common, when appearing in unusual patterns or numbers, they might be considered under rare diagnoses, especially if associated with other systemic conditions.
  • Pigmented Basal Cell Carcinoma: A rare form of skin cancer that can present as a brown mark, emphasizing the importance of thorough examination and possibly biopsy for definitive diagnosis.

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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