Different spots on the face – self-diagnosis help

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.


AGE<24 jaar (indien>24 years, often known to have acne before that)>30 YEARAll agesAll ages
LOCATION– T-zone face
– Checks and jawline
– Back and chest
– Bulging areas of the face: especially cheeks, nose and foreheadAround the mouth, sometimes around the eyes– In particular, cheeks
– Adults often include upper eyelids
FEATURESBlackheads black and/or white (without blackheads no acne!)Often reinforced vascular drawings cheeksAlong the lips is a narrow zone of normal skinOften known at a young age with eczema
COMPLAINTSPain, 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
– 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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