By Gary M. White, MD
Atrophia Maculosa Varioliformis Cutis
Atrophoderma Vermiculatum in LDS from JAMA Derm 2015;151;675.
Cushing's Syndrome. Excessive glucocorticoids--endogenous or exogenous--may cause enlargement of the cheeks (moon facies) and a buffalo hump secondary to deposition of fat. The extremities, in contrast, remain slender and the skin is atrophic and fragile. Striae may develop. Corticotropin-dependent disease includes Cushing's disease. Corticotropin-independent excess cortisol production by the adrenals may occur unilaterally (e.g., adenoma or carcinoma) or bilaterally (e.g., bilateral nodular adrenocortical hyperplasia).
Keratosis Pilaris Rubra. Follicular papules on a background of erythema in a teenage boy is classic.
Keloids in a black woman with acne conglobata and multiple hairs.
Is it Melanoma or Seborrheic Keratosis? Biopsy showed melanoma.
Acquired Bilateral Nevus Of Ota-Like Macules
Erythromelanosis Follicularis Faciei et Colli
Fever. Flushed cheeks may occur nonspecifically in a child with a fever.
Systemic Lupus Erythematosus
Atopic Dermatitis. The classic red, scaly cheeks of an infant with atopic dermatitis. Bilaterally symmetric, red, scaly, chapped, dry, glazed cheeks in infancy is a manifestation of infantile atopic dermatitis (see atopic dermatitis/fossa). An irritant dermatitis from saliva during sleep may be contributory.
Apocrine Chromhidrosis. For pictures, see Dermatology Online Journal 18(13).
Poikiloderma in Rothmund-Thomson Syndrome.
Facial Telangiectasias. Telangiectasias may develop on the cheeks, nose and the rest of the face as a person ages. Rosacea is often associated, but facial telangiectasias, without pustules or pimples, is not rosacea (in this author's opinion).
Cold Panniculitis. For a great picture, see Created through inspiration.
Erysipelas. The acute onset of a bright red, warm, spreading, edematous plaque on the cheek may occur in erysipelas--a bacterial infection usually caused by Streptococcus. Fever or chills may accompany the rash. Pustules or skin breakdown may occur.
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