What is the cause of bilateral forehead redness with papules?

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Differential Diagnosis for Redness Bilateral Forehead with Papules

  • Single most likely diagnosis
    • Rosacea: This condition is characterized by redness, papules, and pustules, typically affecting the central face, including the forehead. It's a common condition that matches the symptoms described.
  • Other Likely diagnoses
    • Acne: Forehead acne can cause redness and papules. It's a common skin condition that can affect any area of the face, including the forehead.
    • Seborrheic dermatitis: This condition can cause a red, itchy rash on the face, including the forehead, and may include papules. It's more common in oily areas of the skin.
    • Contact dermatitis: An allergic reaction or irritation from a product (like hair care products or makeup) can cause redness and papules on the forehead.
  • 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 cheeks and nose but can also affect the forehead. It's an autoimmune disease that can have serious complications if not treated.
    • Sarcoidosis: This condition can cause skin lesions, including papules, and can affect the face. It's an autoimmune disease that can affect multiple organs.
  • Rare diagnoses
    • Demodex folliculitis: Caused by a mite that lives in hair follicles, leading to inflammation and papules. It's less common but can be considered in persistent cases.
    • Granulomatous rosacea (Lupus pernio): A rare form of rosacea that can cause papules and is associated with granulomatous inflammation. It's distinct from typical rosacea and can be more challenging to treat.

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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