FACE

By Gary M. White, MD

Acneiform, Adult

Acne Vulgaris
Acne Vulgaris

Acne of the Face
Acne in a Woman.

Rosacea
Rosacea

Perioral Dermatitis
Perioral Dermatitis

Steroid Rosacea
Steroid Rosacea

Rosacea Fulminans
Rosacea Fulminans. Courtesy Michael O. Murphy, MD

Gram-Negative Folliculitis
Gram-Negative Folliculitis

Demodicosis Demodicosis under the Microscope
Demodicosis

Acneiform, Infant

Neonatal Acne
Neonatal Acne

Infantile Acne

Annular

Neonatal Lupus Erythematosus
Neonatal Lupus Erythematosus

Secondary Syphilis
Secondary Syphilis

Jessner Lymphocytic Infiltrate

Seborrheic Dermatitis

Blue

Chrysiasis
Various drugs and metals can cause blue skin including minocycline, imipramine [JAAD 1999;40;159], chlorpromazine, amiodarone, gold (chrysiasis shown above) and silver (argyria).

Exogenous Ochronosis

Comedones

Favre-Racouchot Syndrome
Favre-Racouchot Syndrome

Chloracne

Comedonal Acne

Dilated Pore of Winer

Crust

Impetigo
Impetigo

Edema

Rosacea with Edema--Morbihan disease
Morbihan Disease

Lymphoma: Rarely, chronic facial edema may be due to an underlying lymphoma [J Clin Oncol. 2012 Sep 1;30(25):e233-6].

Excoriation

Acne Excorie
Acne Excorie

Cysts

Eccrine Hidrocystomas
Hidrocystomas (Eccrine or Apocrine)

Gyrate Folding

Pachydermoperiostosis

Hyperkeratotic

Actinic Keratosis

Hypertrichosis

Hirsutism
Hirsutism

Acquired Hypertrichosis Lanuginosa
Acquired Hypertrichosis Lanuginosa

Leonine Facies

Leonine facies is a very rare physical finding in which the patient has facial features of a lion, with prominent convexities and furrowed creases. It has been associated with lepromatous leprosy, amyloidosis, leishmaniasis, sarcoidosis, carcinoid syndrome, CTCL and contact dermatitis.

Lipoatrophy

Parry-Romberg Facial Hemiatrophy
Progressive Hemifacial Atrophy

HIV-Associated Lipoatrophy

Nodule(s)

Atypical Fibroxanthoma
Atypical Fibroxanthoma

Epidermal Inclusion Cyst

Merkel Cell Tumor

Microcystic Adnexal Carcinoma

Pigmented Macules

Freckles
Freckles

Carney Complex

Multiple Lentigines Syndrome

Inherited Patterned Lentiginosis in Blacks

Postinflammatory Hyperpigmentation of Acne

Xeroderma Pigmentosum

Pigmented Patch(es)

Lentigo Maligna
Lentigo Maligna

Melasma
Melasma

Spreading Pigmented Actinic Keratosis
Spreading Pigmented Actinic Keratosis

Exogenous Ochronosis

Pigmented Contact Dermatitis

Solar Lentigo

Patterned facial pigmentation including periorbital pigmentation [Indian J Dermatol 2014;59:41-8].

Plaque(s), Red

Alopecia Mucinosa
Alopecia Mucinosa

Lupus Erythematosus Tumidus
Lupus Erythematosus Tumidus

Granuloma Faciale
Granuloma Faciale

Sweet's Syndrome of the Face
Sweet's Syndrome

Lepromatous Leprosy
Lepromatous Leprosy. Courtesy Steven H. Goldberg, MD

Jessner Lymphocytic Infiltrate

Pustules

See Acneiform above.

Red Papules, Acute

Eruptive Pseudoangiomatosis

Red, Scaly, Localized

In an older individual with significant sun exposure, consider actinic keratosis, squamous cell carcinoma, Bowenoid actinic keratosis and rarely amelanotic lentigo maligna melanoma.

Bowenoid Actinic Keratosis of the Forehead
Bowenoid Actinic Keratosis

Seborrheic Dermatitis
Seborrheic Dermatitis

Cutaneous Lupus Erythematosus
Cutaneous Lupus Erythematosus

Lupus Vulgaris

Scars

Acne Conglobata of the Face
Acne Conglobata

Neurotic Excoriations
Neurotic Excoriations

Atrophia Maculosa Varioliformis Cutis
Atrophia Maculosa Varioliformis Cutis

Lipoid Proteinosis

Nonsteroidal antiinflammatory agents causing scars on the face [J Ped 1994;125;819].

Telangiectasias

Facial Telangiectasias
Facial Telangiectasias

Scleroderma
CREST Syndrome

Hereditary Hemorrhagic Telangiectasia

Nifedipine causing telangiectasias of the face [BJD 1993;129;630].

Rosacea

Ulcer

Basal Cell Carcinoma
Basal Cell Carcinoma

Dermatitis Artefacta of the Face
Dermatitis Artefacta

Malignant Pyoderma
Malignant Pyoderma

Vascular

Infantile Hemangioma of the Face
Hemangioma

Port Wine Stain
Port Wine Stain

Sturge-Weber Syndrome

Vesicles

Herpes Labialis
Herpes Simplex

Herpes Zoster Ophthalmicus
Herpes Zoster

Cicatricial Pemphigoid
Brunsting-Perry Pemphigoid

Eczema Herpeticum

Wrinkling

Wrinkles
Smoker's Face. Smoking greatly increases the formation of wrinkles.

Photoaging

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