CHEEK

By Gary M. White, MD

Bilateral

Atrophy

Atrophia Maculosa Varioliformis Cutis
Atrophia Maculosa Varioliformis Cutis

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

HIV Lipodystrophy

Enlarged

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

Nodules

Keloids in a black woman with acne conglobata and multiple hairs.
Acne Scars, Keloids, Hairs of the Cheek

Pigmented

Is it Melanoma or Seborrheic Keratosis? Biopsy showed melanoma.
Melanoma

Acquired Bilateral Nevus Of Ota-Like Macules

Solar Lentigo

Pit

Dental Sinus
Dental Sinus

Red

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
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

Poikiloderma in Rothmund-Thomson Syndrome.

Telangiectasias

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

White

Pityriasis Alba
Pityriasis Alba

Tinea Versicolor
Tinea Versicolor

Unilateral

Annular

Tinea Faciei
Tinea Faciei

Dimple

Dental Sinus
Dental Sinus

Papules and Pustules

Unilateral Rosacea

Cold Panniculitis. For a great picture, see Created through inspiration.

Demodicosis
Demodicosis

Leishmaniasis

Red

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

Sweating

Frey's Syndrome

RegionalDerm

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