Differential Diagnosis for High Blood Pressure and Red Facial Complexion
Single Most Likely Diagnosis
- Hypertension: This is the most straightforward diagnosis given the symptom of high blood pressure. The red facial complexion could be related to the hypertension, possibly due to increased blood flow or as a sign of target organ damage.
Other Likely Diagnoses
- Rosacea: A condition characterized by a red facial complexion, which can be exacerbated by high blood pressure. While not directly causing hypertension, the two conditions can coexist and contribute to the patient's presentation.
- Polycythemia Vera: A myeloproliferative disorder that can lead to increased red blood cell mass, potentially causing hypertension and a ruddy complexion due to the increased red blood cells.
Do Not Miss Diagnoses
- Pheochromocytoma: A rare tumor of the adrenal gland that can cause episodic or sustained hypertension, along with symptoms like flushing (which could be mistaken for a red facial complexion). Missing this diagnosis could be fatal due to the potential for severe hypertensive crises.
- Cushing's Syndrome: A condition caused by excess cortisol, which can lead to hypertension and a variety of other symptoms, including changes in skin appearance. While less common, it's critical to consider due to its significant impact on morbidity and mortality if left untreated.
Rare Diagnoses
- Carcinoid Syndrome: A rare condition caused by a neuroendocrine tumor that can produce vasoactive substances, leading to flushing (which might appear as a red facial complexion) and potentially hypertension, among other symptoms.
- Erythromelalgia: A disorder characterized by burning pain, heat, and redness in the hands and feet, and sometimes the face, which could be associated with hypertension in some cases, particularly in the context of myeloproliferative diseases.