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Face
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Several eczematous disorders may cause lesions on the face including atopic dermatitis, seborrhoeic dermatitis, allergic and irritant contact dermatitis.
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Clinical picture: Skin changes may include erythema, scaling, and possibly oozing. In chronic eczema, lichenification is also present. The forehead, cheeks, chin, periorbital and perioral areas may be affected.
Diagnosis: The diagnosis is based on careful history taking, clinical examination and further testing such as prick and patch testings if atopy or allergy are suspected.
Differential diagnoses: The differential diagnoses depend on the type of eczema and the individual skin condition. Psoriasis, perioral dermatitis, rosacea and tinea must be distinguished from eczema of the face. Other differential diagnoses include some forms of porphyria, lupus erythematosus, erysipelas, dermatomyositis, Melkersson-Rosenthal-syndrome and infectious diseases such as erythema infectiosum.
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