If there are red pimples, spots or spots on the face, it can be caused by various diagnoses. Often this includes acne, rosacea, perioral dermatitis, or eczema. Distinguishing between these diagnoses can be very difficult. With this blog we hope to provide self-diagnosis tips and more information about which skin condition you have.
This is especially important as different skin care tips and treatments are provided for each skin type. For example, corticosteroid creams aggravate acne, rosacea, and periorbital rashes, but on the other hand, we treat eczema with these creams. Vice versa, an antibiotic does not primarily help against eczema.
| ACNE | ROSACEA | DERMATITIS PERIORALIS | ECZEMA | |
|---|---|---|---|---|
| AGE | <24 jaar (indien>24 years, often known to have acne before that) | >30 YEAR | All ages | All ages |
| LOCATION | – T-zone face – Checks and jawline – Back and chest | – Bulging areas of the face: especially cheeks, nose and forehead | Around the mouth, sometimes around the eyes | – In particular, cheeks – Adults often include upper eyelids |
| FEATURES | Blackheads black and/or white (without blackheads no acne!) | Often reinforced vascular drawings cheeks | Along the lips is a narrow zone of normal skin | Often known at a young age with eczema |
| COMPLAINTS | Pain, particularly deep inflammation | – Burning sensation – Sometimes itching – Flushing (excessive flushing with heat sensation) – Occasional eye complaints (sand-grain feeling, dry eyes, conjunctivitis) | Frequent burning sensation | – Itch – Burning: suddenly eczema later in life, think contact allergy! |
| OTHER SYMPTOMS | – Patches (papules) – Pimples (pustules) – Pigment spots – Scarring where there were previously pustules or papules | – Diffuse redness – Small vessels (rosacea) – Patches (papules) – Pimples (pustules) – Abdominal complaints (IBS) (More on Rosacea, not limited to just the skin) | – Sometimes itching – No scars | – Red scaly areas – Cracking effects in the red spots – Sometimes yellow or red scabs – In the case of eyelids, rubbing often also causes coarsening of the skin folds and more creases – No red bumps! – Pigmentation spots, white or dark spots |
| AGGRAVATING FACTORS | – Vitamin B12 – Anabolic steroids – Excessive protein intake, whey powders – Hormone ointments – Certain anti-conception | – Sun – Diet – Temperature change – Heat – Hormone ointments | – Hormone ointments – Puffers with hormones | – Stress – Later age sudden eczema: allergic reaction |
For tips and what you can do yourself, we have a comprehensive page dedicated to: acne, rosacea, perioral dermatitis, eczema.
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