Approach Towards Patients Presenting with “Red Face”: A Retrospective Study

associated systemic manifestations.In most cases, the cause of a red face is a benign disease such as rosacea, contact dermatitis, photodermatosis, and climacterium, and a detailed history and physical examination are sufficient to make the diagnosis.Facial erythema may also present as a manifestation of drug allergies, heart disease, carcinoid syndrome, pheochromocytoma, mastocytosis, and anaphylaxis.Further laboratory testing, radiological or histopathological examination, may detect some rare causes such as medullary carcinoma of the thyroid, pancreatic islet cell tumor, and renal carcinoma.In this study, the differential diagnosis and approach to various conditions that cause "red face" ABSTRACTBackground: Facial erythema (red face) is a common clinical finding, evident even to the untrained eye; however, a red face does not represent a single cutaneous disease.Red face can be caused by many different underlying conditions of varying severity, including infectious causes such as lupus vulgaris, dermatomyositis, lupus erythematosus, lupus pernio, allergic contact dermatitis, drug-induced erythema, and acne vulgaris. Materials and Methods:However, this is not a classification method used in western dermatology.The files of the patients who applied to the Department of Dermatology between February 15 and May 15, 2022, were retrospectively analyzed.In this study, it was aimed to determine the distribution of diseases with red face in patients who applied to our center, to evaluate which skin findings are observed in these diseases and the treatments used in these patients.Results: Two hundred sixty-two patients were included in the study.According to our results the mean age of the patients was 30.01±11,943 (2-89).In the study the distribution of the patients by sex included 94 men and 168 women.The mean age of the men in the study was 27.38±12,632 (2-89), and the mean age of the women was 31.48±11,313 (17-70).The distribution of the patients by Fitzpatrick skin type was assessed.Accordingly, Type 3 (n=92, 35.1%) skin type was the most common and type 1 (n=24, 9.2%) skin type was the least frequent.As a result, acne (n=73, 27.9%) and rosacea (n=100, 38.2%) were the most common in patients presenting with a red face.Conclusion: "Red face" is a very common finding in dermatology clinics.Red face often due to changes in skin blood flow and sometimes accompanying inflammation a situation that arises.Wide differential diagnosis in patients presenting with a "red face" has a range.