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Female Patient

Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Apr 18, 2012.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    What is your medical diagnosis for this case

    Add you diagnosis as a comment below

    I will add the right answer as a comment too

    You can write differential diagnosis

    Female Patient.jpg
     

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  2. gizem_A

    gizem_A Famous Member

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    it might be erythema or rash, if it is rash could be due to connective tissue disorders
     

  3. Walkov

    Walkov Famous Member

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    Sle...lupus!
     

  4. patel

    patel Famous Member

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    D/D may be allergy just because of sun.. SLE can be, SLE, and eczema else i don't remamber now.. haha
     

  5. Thanterz

    Thanterz Famous Member

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    Its SEL we can see the butterfly rash
     

  6. darkangel

    darkangel Well-Known Member

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    I think It's rosacea
     

  7. dupuytren

    dupuytren Bronze Member

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    SLE butterfly rash vs photodermatitis, because this rash avoids the periorbital region.. Less probably allergy or contact dermatitis (for instance due to a cream)
     

  8. Begic Aki

    Begic Aki Well-Known Member

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    Lupus eritematodes or rosacea
     

  9. Dr.Dnyanesh

    Dr.Dnyanesh Well-Known Member

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    SLE Rash.
     

  10. karam

    karam Famous Member

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    SLE( butterfly rash)
     

  11. Gospodin Seki

    Gospodin Seki Moderator Staff Member

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  12. Hendra Gandhi

    Hendra Gandhi Moderator

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    always love how dupuytren answer/posting :D
     

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  13. Rocket Queen

    Rocket Queen Super Moderator

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  14. Aman Setiya

    Aman Setiya Bronze Member

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    seems to be acne rosasea .
     

  15. neo_star

    neo_star Moderator

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    Differentials of Butterfly rash on face / malar erythema

    Common things first

    - is this somebody who flushes easily, either by getting embarassed easily (in which case it is called blushing) or becos of a greater number of superficial capillaries.
    - people living in higher altitudes ( higher RBC count, to make up for the lower atm. O2 )
    - has the patient been out in the sun
    - seborrhea ( esp. with the multitude of face-washes available, people end up overdoing it, which leads to an increasingly dry skin to which the body reacts with some inflammation and sebum )
    - rosacea
    - early mask of pregnancy
    - and of course Lupus

     

  16. apparat

    apparat Well-Known Member

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    IMO this is SLE

    Of course, upon taking history, you may be able to gain a better insight into the condition, but it will be interesting if some seniors can shed light on their diagnosis (only visually speaking), and how they came to that conclusion. I have always asked myself how to differentiate a "butterfly" rash considering there are many causes. In my quests, my only differentiations are:

    Favours acne rosacea if:
    - Rhinophyma present
    - If the philtrum is also affected
    - Possibly older patient

    Favours SLE if:
    - If the philtrum is unaffected
    - Scarring present

    Favours perioral dermatitis:
    - Chin & mouth affected
    - Young female

    (Unlikely) favours acne vulgaris:
    - Comedones/blackheads etc

    As mentioned, there should be more concrete differences, at least when looking at this visually. This is, after all, spot diagnosis
     

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