Differential Diagnosis for Unilateral, Itchy, Red Eyelid
Single Most Likely Diagnosis
- Blepharitis: This is an inflammation of the eyelids that can cause redness, itching, and swelling. It's a common condition that can be unilateral and is often associated with other symptoms like crusting or burning sensations.
Other Likely Diagnoses
- Allergic Conjunctivitis: An allergic reaction to substances like pollen, dust mites, or pet dander can cause itchy, red eyes and eyelids. This condition is often bilateral but can start unilaterally.
- Eczema (Atopic Dermatitis): Eczema can affect any part of the body, including the eyelids, causing redness, itching, and swelling. It's a common condition in individuals with a history of atopic diseases.
- Contact Dermatitis: This is a skin reaction that occurs after contact with an irritant or allergen, leading to redness, itching, and sometimes blistering of the eyelid.
Do Not Miss Diagnoses
- Herpes Zoster (Shingles): Although less common, herpes zoster can cause a unilateral, painful rash that may involve the eyelid. It's crucial to diagnose and treat promptly to prevent complications like vision loss.
- Basal Cell Carcinoma or Other Eyelid Tumors: While rare, tumors of the eyelid can present with redness, swelling, and sometimes itching. Early detection is vital for effective treatment and to prevent serious complications.
- Angioedema: A severe, potentially life-threatening condition that can cause rapid swelling of the eyelids, among other areas. It often requires immediate medical attention.
Rare Diagnoses
- Sarcoidosis: A systemic disease that can affect various parts of the body, including the eyes. It may cause uveitis, conjunctivitis, or eyelid swelling, among other ocular symptoms.
- Lupus: Systemic lupus erythematosus (SLE) is an autoimmune disease that can affect many parts of the body, including the eyes, causing symptoms like dry eyes, sensitivity to light, or eyelid rashes.
- Leukemic Infiltration: In rare cases, leukemia can infiltrate the eyelids, causing swelling, redness, and sometimes itching. This would be part of a broader systemic disease presentation.