What is the cause of facial discomfort and pruritus (itching) for one week?

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Differential Diagnosis for Discomfort and Itching on Face

Single Most Likely Diagnosis

  • Contact Dermatitis: This is a common condition that occurs when the skin comes into contact with an irritant or allergen, leading to discomfort and itching. Given the location on the face, it could be due to a new skincare product, makeup, or an environmental factor.

Other Likely Diagnoses

  • Eczema (Atopic Dermatitis): A chronic skin condition characterized by itchy, inflamed skin. The face can be a common area affected, especially in individuals with a history of atopic diseases.
  • Seborrheic Dermatitis: A condition causing scaly patches, red skin, and stubborn dandruff, often affecting oily areas of the body like the face. Itching and discomfort are common symptoms.
  • Allergic Reaction: An allergic reaction to a substance (e.g., food, pollen, or pet dander) could manifest as itching and discomfort on the face.
  • Rosacea: A skin condition that causes redness, itching, and sometimes small, pus-filled bumps on the face, often triggered by sun exposure, stress, or certain foods.

Do Not Miss Diagnoses

  • Angioedema: A severe, potentially life-threatening condition that can cause rapid swelling of the skin and mucous membranes, often accompanied by itching. It requires immediate medical attention.
  • Lupus: Systemic lupus erythematosus (SLE) can cause a butterfly-shaped rash across the cheeks and nose, accompanied by itching and discomfort, among other systemic symptoms.
  • Sjögren's Syndrome: An autoimmune disorder that can cause skin symptoms, including itching and discomfort on the face, along with dry eyes and mouth.

Rare Diagnoses

  • Pemphigus: A group of rare skin disorders that cause blistering of the skin and mucous membranes, which can lead to itching and discomfort.
  • Dermatomyositis: An inflammatory disease characterized by skin rash and muscle weakness, which can include facial involvement with itching and discomfort.
  • Sarcoidosis: A condition where inflammatory cells form lumps known as granulomas in various parts of the body, including the skin, which can cause lesions and itching on the face.

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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