Pustular Skin Rash - Differential Diagnosis Algorithm
Pruritic / Scaly / Erythematous lesions, usually poorly demarcated
Acneiform - Erythematous papules and pustules on face:
• Acne Vulgaris - Comedones +/- nodules, cysts, scars on face & trunk
• Acne Rosacea - Telangiectasia, episodic flushing after sunlight, alcohol, hot or spicy food & drinks
• Perioral Dermatitis - Perioral, periorbital & nasolabial distribution, sparing vermillion borders of lips
Infectious:
• Folliculitis - Pustules centered around hair follicles
• Impetigo - Pustules with overlying thick honey-yellow crusts
• Candidiasis - "Beefy red" erythematous patches in body folds with satellite pustules at periphery
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