Differential Diagnosis for White Small Bumps on Eyelids
- Single most likely diagnosis
- Milia: These are small, white, keratin-filled cysts that often appear on the eyelids. They are very common and usually harmless, making them the most likely diagnosis for white small bumps on the eyelids.
- Other Likely diagnoses
- Chalazia: These are small bumps on the eyelid due to a blocked oil gland. They can appear white or flesh-colored and are often tender.
- Xanthelasma: These are small, yellowish or white bumps on the eyelids caused by accumulation of fat under the skin. They are more common in people with high cholesterol.
- Papillomas: These are benign growths that can appear as small, white bumps on the eyelids.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Basal cell carcinoma: Although rare, basal cell carcinoma can present as a small, white bump on the eyelid. It's crucial to rule out this diagnosis due to its potential for malignancy.
- Squamous cell carcinoma: Similar to basal cell carcinoma, squamous cell carcinoma is a type of skin cancer that can appear on the eyelids and must not be missed.
- Rare diagnoses
- Sarcoidosis: This is a condition that can cause small bumps or nodules on the eyelids, among other symptoms. It's an autoimmune disease that can affect various parts of the body.
- Syphilis: In its secondary stage, syphilis can cause a variety of skin symptoms, including small bumps on the eyelids. Although rare, it's an important diagnosis to consider due to its potential for serious complications if left untreated.