By Gary M. White, MD



Atrophia Maculosa Varioliformis Cutis
Atrophia Maculosa Varioliformis Cutis

Atrophoderma Vermiculatum in LDS from JAMA Derm 2015;151;675.

HIV Lipodystrophy


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).

Hyperkeratotic Papules

Keratosis Pilaris
Keratosis Pilaris of the Cheek

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.
Acne Scars, Keloids, Hairs of the Cheek


Is it Melanoma or Seborrheic Keratosis? Biopsy showed melanoma.

Acquired Bilateral Nevus Of Ota-Like Macules

Solar Lentigo


Dental Sinus
Dental Sinus


Erythromelanosis Follicularis Faciei et Colli
Fever. Flushed cheeks may occur nonspecifically in a child with a fever.
Flushed Cheeks of a Child with Fever

Fifth Disease
Fifth Disease

Rosacea of the Nose and Cheeks

Systemic Lupus Erythematosus

Red, Scaly

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.
Atopic Dermatitis of the Cheek

Sweat, Black

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).

CREST Syndrome
Scleroderma: CREST syndrome


Pityriasis Alba
Pityriasis Alba

Tinea Versicolor
Tinea Versicolor



Tinea Faciei
Tinea Faciei


Dental Sinus
Dental Sinus

Papules and Pustules

Unilateral Rosacea

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.
Erysipelas of the Face


Frey's Syndrome


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