Differential Diagnosis for Facial Rash with Burning
- Single most likely diagnosis
- Rosacea: This condition is characterized by a facial rash, often accompanied by burning sensations, redness, and sometimes acne-like symptoms. It's a common condition that matches the symptoms described.
- Other Likely diagnoses
- Contact Dermatitis: This is a type of skin inflammation caused by contact with irritants or allergens, which can lead to a rash and burning sensation on the face.
- Seborrheic Dermatitis: A skin condition that can cause a rash, often on the face, and may be accompanied by a burning sensation, especially if it becomes inflamed.
- Eczema (Atopic Dermatitis): While more common in children, adults can also experience eczema on their faces, leading to a rash and burning sensation.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Lupus: Systemic lupus erythematosus can cause a butterfly-shaped rash across the face, which may burn, and is a serious autoimmune disease that requires prompt diagnosis and treatment.
- Sarcoidosis: This condition can cause skin rashes, including on the face, and while rare, it's a systemic disease that can affect multiple organs and requires early detection.
- Lyme Disease: In its early stages, Lyme disease can cause a distinctive rash (erythema migrans), which may appear on the face and could be accompanied by a burning sensation, along with other systemic symptoms.
- Rare diagnoses
- Sjögren's Syndrome: An autoimmune disorder that can cause skin rashes, including on the face, along with other symptoms like dry eyes and mouth, though it's less commonly associated with a burning facial rash.
- Dermatomyositis: A rare inflammatory disease that can cause skin rash and muscle weakness, with the rash sometimes appearing on the face and potentially feeling like it's burning.
- Erythromelalgia: A disorder that causes burning pain, heat, and redness in the hands and feet, but can occasionally affect the face, leading to a burning sensation and rash.