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A Persistent Facial Rash
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Journal Article
A Persistent Facial Rash
2013
Overview
The fungal scraping and culture can produce false-negative results, and sensitivity decreases after treatment with steroids and antifungal medications.2 Rarely, a punch biopsy is needed to diagnose the infection or evaluate for other possible causes. Summary Table Condition Characteristics Acne rosacea Erythematous papules, pustules, and telangiectasias on the cheeks, forehead, and nose; flushing and redness with consumption of spicy foods or alcohol are common Acute cutaneous lupus erythematosus Erythematous patches or plaques on the malar eminence and nasal bridge in a typical “butterfly” configuration; most common on sun-exposed areas; systemic signs and symptoms of lupus erythematosus may be present Atopic dermatitis Eczematous morphology; most common on the flexor surfaces of the extremities; often associated with a history of other atopic diseases (e.g., asthma, allergic rhinitis) Dermatomyositis Periorbital, symmetrical, violaceous patches (heliotrope rash); proximal muscle weakness Tinea faciei Papulosquamous plaques with an annular, scaly edge Address correspondence to Benson Koon Wee Yeo, MBBS, at yeoben son@gmail.com. Levitt JO, Levitt BH, Akhavan A, Yanofsky H. The sensitivity and specificity of potassium hydroxide smear and fungal culture relative to clinical assessment in the evaluation of tinea pedis: a pooled analysis.
Publisher
American Academy of Family Physicians
Subject
/ Adrenal Cortex Hormones - therapeutic use
/ Asthma
/ Dermatitis, Atopic - complications
/ Dermatitis, Atopic - diagnosis
/ Dermatomyositis - complications
/ Eczema
/ Face
/ Family Medicine/General Medicine
/ Female
/ Humans
/ Lupus
/ Lupus Erythematosus, Cutaneous - complications
/ Lupus Erythematosus, Cutaneous - diagnosis
/ Nose
/ Rosacea
