MBBS (Hons), DipArts (Phil), FRACGP, General Practitioner, Aged Care GP, Melbourne, Vic; General Practitioner, Mole Check Clinic, Melbourne, Vic.
MBBS (Hons), MPhil, FACD, Consultant Dermatologist, Dermatology Department, Northern Hospital, Melbourne, Vic; Consultant Dermatologist, Preston Dermatology and Specialist Centre, Melbourne, Vic.
Aust J Gen Pract. 2024 Apr;53(4):203-209. doi: 10.31128/AJGP-08-23-6930.
A red rash on the face in an adult patient is a common presentation to general practice in Australia. Rashes on the face significantly affect quality of life because this is a cosmetically sensitive site. Ascertaining the correct diagnosis is therefore of utmost importance so that appropriate treatment can be initiated.
This article discusses the assessment of red rashes on the face in an adult patient.
Diagnosing a red rash on the face requires assessment of symptomology, age of onset, rash morphology and 'clinical clues' that help delineate between differentials. Although the list of differential diagnoses is wide, many of the common diagnoses can be made clinically without the need for investigations. Investigations such as skin biopsy are useful if the diagnosis is unclear, if the rash is not responding to initial treatment and/or a referral to a dermatologist is being considered.
成人患者面部出现红斑是澳大利亚全科医学中常见的就诊原因。面部皮疹会显著影响生活质量，因为这是一个对美容敏感的部位。因此，确定正确的诊断至关重要，以便能够开始进行适当的治疗。
本文讨论了评估成人患者面部红斑的方法。
诊断面部红斑需要评估症状、发病年龄、皮疹形态以及有助于区分不同疾病的“临床线索”。虽然鉴别诊断的范围很广，但许多常见的诊断可以通过临床评估来做出，而无需进行检查。如果诊断不明确、皮疹对初始治疗无反应和/或考虑转诊给皮肤科医生，那么皮肤活检等检查是有用的。
