THE RED FACE Flashcards
What are the conditions associated with acute onset of a red face?
Allergic contact dermatitis, Atopic dermatitis (flare), Phototoxic Reaction
Acute conditions often present suddenly and can be linked to specific triggers.
What are the conditions associated with chronic onset of a red face?
Rosacea, Psoriasis, Seborrheic Dermatitis, Acne Vulgaris
Chronic conditions develop over a longer period and may require different management strategies.
Is there itch? What does it indicate?
Itch indicates dermatitis or eczema, such as Allergic contact dermatitis or Atopic dermatitis
If there is no itch, it is likely not eczema.
What symptoms are associated with pain and/or burning?
Cellulitis, Erysipelas, Rosacea, Irritant contact dermatitis, Acne Vulgaris
Pain and burning sensations can help narrow down the differential diagnosis.
What is an important factor to consider regarding the age of the patient?
Infants: Atopic dermatitis, Adolescents: Acne vulgaris, Adults: Rosacea/Acne, Seborrheic dermatitis at any age
Age can provide clues to the underlying condition.
What medication history is significant in the context of red face?
Photo-allergic dermatitis, Photo-toxic reactions, Face creams
Certain medications can exacerbate skin conditions or lead to reactions.
What exacerbating factors should be considered in rosacea?
Alcohol, heat, spicy food, exercise
These factors can trigger or worsen rosacea symptoms.
What are the key patterns to observe on examination for rosacea?
Cheeks, Chin, Nose
The distribution of lesions can help identify the condition.
What are the key patterns to observe on examination for seborrheic dermatitis?
Eyebrows, Nasal creases, External auditory canals, Scalp, Axillae, Sternum, Genitals
Recognizing these patterns is crucial for diagnosis.
What are some differential diagnoses for a red face?
Steroid Induced Atrophy, Erythrotelangiectatic Rosacea, Photosensitive dermatoses, Seborrheic Dermatitis, Allergic Contact Dermatitis, Telangiectasia
A thorough differential diagnosis is essential for effective management.
What should be noted on examination regarding the distribution pattern?
Seborrheic Pattern, Photosensitive Pattern, Specific Contact Pattern
The distribution can indicate the underlying cause.
What are the potential systemic causes of photosensitivity?
Drug induced photo-toxicity, Idiopathic photo allergic dermatitis, Cutaneous LE, Pellagra, Porphyria
Systemic conditions may contribute to photosensitivity.
What are the common medications that can cause photosensitivity?
HCTZ, Retinoids, Doxycycline, NSAID, Phenothiazines, Amiodarone
Awareness of these medications is crucial in patient history.
What is a key characteristic of the butterfly rash of SLE?
Photo distributed, often scaly, spares nasal creases
This characteristic can help differentiate it from other conditions.
What should be included in a detailed medication history?
Herbal medications, vitamins, prescribed medications
Comprehensive medication history can uncover potential causes of skin issues.
What are the side effects of long-term topical steroid use?
Steroid Induced Atrophy, Burning sensation when steroids are stopped
These side effects can complicate treatment and require careful management.
What is the management strategy for steroid-induced atrophy?
Stop facial steroids, Wean down with 1% Hydrocortisone cream, Doxycycline or minocycline, Pimecrolimus cream or tacrolimus ointment
Gradual tapering is essential to mitigate rebound symptoms.
What is Seborrheic Dermatitis characterized by?
Scaling, Erythema, Eczematous plaques, Nasolabial fold involvement
Recognizing these characteristics aids in diagnosis.
What is the main causative agent of Seborrheic Dermatitis?
Proliferation of Malassezia yeast
This yeast thrives in areas with high sebum production.
In what areas does Seborrheic Dermatitis commonly affect?
Genitals, Axillae, Scalp, External Ear Canal, Central Sternum/Back, Eyebrows, Paranasal Skin, Moustache
These areas are typically high in sebaceous glands.
