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AI Generated Results

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The image shows facial redness prominently over the cheeks and nose area, with a butterfly-shaped distribution. Based on this presentation, here are the most likely diagnoses:

Possible Diagnoses and Likelihoods:

  1. Rosacea – 60%

    • Chronic redness, flushing, visible capillaries, sometimes acne-like bumps.

    • Triggered by heat, spicy foods, alcohol, sun exposure, or stress.

  2. Systemic Lupus Erythematosus (SLE) – 25%

    • Characteristic “malar rash” (butterfly-shaped) over the nose and cheeks.

    • Often associated with fatigue, joint pain, and other systemic symptoms.

  3. Seborrheic Dermatitis – 10%

    • Red, flaky patches, often near the nose, eyebrows, or scalp.

    • May have greasy appearance and mild itch.

  4. Contact Dermatitis / Allergic Reaction – 5%

    • Redness due to reaction to skin care products, cosmetics, or irritants.

    • Often itchy or burning sensation.

Suggested Remedies:

✅ If Rosacea:

  • Topical Treatments:

    • Metronidazole gel/cream (0.75% or 1%)

    • Azelaic acid 15–20%

    • Ivermectin 1% cream (especially for bumps)

  • Lifestyle Modifications:

    • Identify and avoid triggers (spicy food, alcohol, heat, sun).

    • Use gentle, fragrance-free cleansers and moisturizers.

    • Always apply broad-spectrum sunscreen (SPF 30+) daily.

  • Oral antibiotics:

    • Doxycycline (40–100 mg daily) for moderate to severe cases.

✅ If Lupus (SLE):

  • Requires medical evaluation and blood tests (ANA, anti-dsDNA, etc.).

  • Treatment may include:

    • Topical steroids for skin rash.

    • Hydroxychloroquine (Plaquenil) systemically.

    • Sun protection is critical — use broad-spectrum SPF 50+ sunscreen daily.

✅ If Seborrheic Dermatitis:

  • Ketoconazole 2% cream or selenium sulfide face wash.

  • Mild topical steroids like hydrocortisone 1% for flares (short term).

  • Gentle skin care to reduce irritation.

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