Facial-ulceration: Causes & Reasons

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Possible Causes for facial ulceration

Basal Cell Carcinoma

Trigeminal trophic syndrome is an uncommon cause of facial ulcers, that affects the sensitive area of the trigeminal nerve. [ncbi.nlm.nih.gov]

RESULTS: In total, 331 cases of facial BCC were included, and 10 lesions recurrences (3%) were identified within the observation period. [ncbi.nlm.nih.gov]

Basal cell carcinoma usually occurs on the head and neck, but very rarely on extra-facial locations. [ncbi.nlm.nih.gov]

Malignant Neoplasm of the Skin

You are here: Cancer information / Cancer types / Skin - non-melanoma / Signs and symptoms Non-melanoma skin cancer usually starts as an abnormal area or change on any part of the skin. How non-melanoma skin cancer looks often depends on the type of cancer. Other health conditions can also look like[…] [cancer.ca]

Squamous Cell Carcinoma of the Skin

Invasive pigmented squamous cell carcinoma (PSCC) of the skin is reportedly rare. Herein, we evaluate an additional five cases and compare their relative frequency with non-pigmented squamous cell carcinoma (SCC). Of 46,791 archived cases of SCC, a total of five cases of PSCC were discovered for a relative[…] [ncbi.nlm.nih.gov]

Syphilis

Characteristic signs include Hutchinson's teeth, typical facial appearance and bowed sabre shins. [dermnetnz.org]

Differential diagnosis of clinical symptoms of syphilis Ulcers Genital ulcers : genital herpes, trauma, cancer ; and less commonly, tuberculosis, chancroid Anal ulcers : genital [dermnetnz.org]

Primary Syphilis

Characteristic signs include Hutchinson's teeth, typical facial appearance and bowed sabre shins. [dermnetnz.org]

Differential diagnosis of clinical symptoms of syphilis Ulcers Genital ulcers : genital herpes, trauma, cancer ; and less commonly, tuberculosis, chancroid Anal ulcers : genital [dermnetnz.org]

Congenital Erythropoietic Porphyria

Erythropoietic porphyria (EP), or congenital erythropoietic porphyria (CEP), results from a deficiency of an enzyme in the pathway for heme synthesis. This leads to the accumulation of toxic porphyrins, which make tissues photosensitive. The major manifestations are blistering skin conditions, often severe and[…] [symptoma.com]

Lupus Vulgaris

Original Article O Fatusi, O Onayemi, K Adebiyi, V Adetiloye, F Owotade, O Oninla Keywords facial ulcer, histopathological diagnosis, lupus vulgaris, tuberculosis cutis orificialis [ispub.com]

Facial swelling and ulceration with nasal destruction. Cleve Clin J Med 2011;78:289-90. 13. Miteva L. Alopecia: A rare manifestation of lupus vulgaris. [e-ijd.org]

Facial swelling and ulceration with nasal destruction. Cleve Clin J Med 2011;78:289-90. 14. Padmavathy L, Rao LL, Ethirajan N, Krishnaswami B. [ijmm.org]

Lethal Midline Granuloma

Lethal midline granuloma (LMG) or midline malignant polymorphic reticulosis is characterized by progressive, unrelenting ulceration and necrosis of the midline facial tissues [link.springer.com]

A condition that is characterized by inflammation, ulceration, and perforation of the nose and the PALATE with progressive destruction of midline facial structures. [profiles.umassmed.edu]

and perforation of the nose and the PALATE with progressive destruction of midline facial structures. [ebi.ac.uk]

Yaws

ulcers, particularly around the nose (gangosa) Pinta lesions are confined to the dermis. [msdmanuals.com]

Gangosa or rhinopharyngitis mutilans denotes mutilating facial ulceration of the palate and nasopharynx secondary to osteitis. [ncbi.nlm.nih.gov]

[…] particularly of the tibia) Proliferative exostoses of the nasal portion of the maxillary bone (goundou) Juxta-articular nodules Gummatous skin lesions Ultimately, mutilating facial [msdmanuals.com]

Mucocutaneous Leishmaniasis

Midline destructive lesions have multiple possible etiologies, which can be grouped into neoplastic, infectious, or vasculitis-associated. The purpose of these case reports and literature review was to highlight the need to include mucocutaneous leishmaniasis in the diagnosis of midfacial lesions in any patient who has[…] [ncbi.nlm.nih.gov]

Paracoccidioidomycosis

Mucocutaneous paracoccidioidomycosis showing extensive destruction of facial features. [web.archive.org]

The facial muscles were normal and showed no visible asymmetry. [bjid.org.br]

Mucocutaneous paracoccidioidomycosis showing an ulcerated lesion on the pharyngeal mucosa. [web.archive.org]

Rosacea

With the exception of the heliotrope rash, facial erythema has drawn little attention in prior studies of DM-associated skin manifestations. [mdedge.com]

Adverse events include blistering, purpura, loss of pigmentation, ulceration, and scarring. [aafp.org]

[…] while minor criteria include macular violaceous erythema (MVE), periungual telangiectasia of the nail fold, poikiloderma, mechanic’s hands, cutaneous calcinosis, cutaneous ulcers [mdedge.com]

Sexually Transmitted Disease

Ulcers, sores or blisters. Cervical abnormalities (tumours, contact bleeding or discharge). [patient.info]

Cervical motion tenderness (often evident from facial expression) when the cervix is moved from side to side with the fingers of the gloved hand in the vagina. [patient.info]

Alcohol Abuse

Peripheral vascular dilitation and permanent facial redness (telangiectasia). Death. [mentalhelp.net]

Esophageal varices (dilated, engorged blood vessels), GI ulceration and hemorrhage. Cardiovascular problems such as high blood pressure, heart attacks and strokes. [mentalhelp.net]

Sinusitis

Facial swelling Cough Nasal discharge Headache Mental status changes Dark ulcers within the nasal canal or on the roof of the mouth Visual disturbances Symptoms of chronic [upmc.com]

Symptoms of invasive fungal sinusitis People with invasive fungal sinusitis usually are very ill, and may have some of the following symptoms: Fever Facial pain or numbness [upmc.com]

Acne Vulgaris

Pyoderma faciale (also called rosacea fulminans) occurs suddenly on the midface of young women. It may be analogous to acne fulminans. [msdmanuals.com]

Acne fulminans is acute, febrile, ulcerative acne, characterized by the sudden appearance of confluent abscesses leading to hemorrhagic necrosis. [msdmanuals.com]

Oral Candidiasis

This can advance to extensive necrosis and present clinically as a yellow or black ulcer with facial swelling. [56] [Figure 4]. [ijdr.in]

The swelling usually is persistent, firm, and painless, and tends to involve the lips, buccal mucosa, and facial soft tissues. [aafp.org]

Marginal gingiva and the gingival sulcus have been cited as the portal of entry of the spores. [9] Painful gingival ulcerations and mucosal soft tissue swellings with gray [ijdr.in]

Chronic Alcoholism

[…] hair, high oestrogen levels with gynaecomastia, change in fat distribution and loss of body hair Oesophagus: ulcer, varices, cancer Liver: hepatitis, cirrhosis, gall stones [dermnetnz.org]

[…] survival and aggregation of platelets and reduced thromboplastin Endocrine : low testosterone levels with loss of libido, testicular atrophy, impaired fertility and reduced facial [dermnetnz.org]

[…] survival and aggregation of platelets and reduced thromboplastin Endocrine: low testosterone levels with loss of libido, testicular atrophy, impaired fertility and reduced facial [dermnetnz.org]

Osteoarthritis

Other complications are more specific to GBS, for example, the inability to swallow safely in patients with bulbar palsy; corneal ulceration in patients with facial palsy; [nature.com]

Neurotic Disorder

Facial acne Psychiatric and medical diagnoses that should be considered include the following: Depression Trichotillomania Anxiety Tic disorder Obsessive-compulsive disorder [emedicine.medscape.com]

[…] scraping the skin Presence or absence of an inciting incident Personal problems (eg, history of abuse) Psychiatric history that includes a comorbid mental disorder Nasal ulcerations [emedicine.medscape.com]

Urethritis

Irritation may be secondary to mechanical trauma or from contact with ammonia in a urine soaked diaper which leads to meatitis and meatal ulcers. [medical-dictionary.thefreedictionary.com]

[…] hydrops, jaundice, pancreatitis, aseptic menigitis, anterior uveitis, arthralgia and arthritis, respiratory findings, otitis media or tympanitis, urethritis, meatitis and facial [medical-dictionary.thefreedictionary.com]

Motion Sickness

[…] paralysis, ptosis and a necrotic ulcer on the right palate due to the Aspergillus fumigatus and mucormycosis. [hrcak.srce.hr]

Torres-Damas et al. (1) reported a case of a 78-year-old male patient with type 2 diabetes and ketoacidosis who presented with a swelling of the right side of his face, right facial [hrcak.srce.hr]

Alzheimer Disease

Trigeminal Trophic Syndrome (TTS) is a rare presentation of facial ulceration, which is characterized by the triad of anesthesia, paraesthesia, and damage of trigeminal sensory [ncbi.nlm.nih.gov]

Pseudomonas

Two months later, she developed a central corneal ulceration. Scraping of the corneal lesion revealed Gram-negative bacilli. [ncbi.nlm.nih.gov]

Abstract A 25-year-old woman underwent intracranial surgery for trigeminal nerve schwannoma (TGNS) with persistent left-sided facial hypoaesthesia. [ncbi.nlm.nih.gov]

Chalazion

Corneal ulceration, ... [murtagh.mhmedical.com]

There are three main causes or types: seborrhoeic—associated with seborrhoeic dermatitis rosacea—associated with facial seborrhoea staphylococcal—due to S. aureus. [murtagh.mhmedical.com]

Blepharitis is inflammation of the lid margins and is commonly associated with secondary ocular effects such as styes, chalazia and conjunctival or corneal ulceration. [murtagh.mhmedical.com]

Talipes Cavus

Surgical Management Read more about Pes Cavus on Wikipedia Correcting a cavovarus foot Most of the corrections involve tendon transfers and capsular and facial releases Correction [physiotherapy-treatment.com]

[…] is warranted.[22] (Evidence 1b) Surgical Management Correcting a cavovarus foot Most of the corrections involve tendon transfers and capsular and facial releases Correction [physio-pedia.com]

[…] foot drop may allow patients to ambulate; however, in patients with sensation deficits, Plastazote linings in the brace are required and frequent inspection of the skin for ulceration [physiotherapy-treatment.com]

Acidosis

Pyoderma faciale (also called rosacea fulminans) occurs suddenly on the midface of young women. It may be analogous to acne fulminans. [msdmanuals.com]

Acne fulminans is acute, febrile, ulcerative acne, characterized by the sudden appearance of confluent abscesses leading to hemorrhagic necrosis. [msdmanuals.com]

Congestive Heart Failure

Treatment[edit] Vein obstruction causes facial edema while lying down to sleep. After being upright all day, the swelling disappears. [en.wikipedia.org]

Edema caused by malnutrition defines kwashiorkor, an acute form of childhood protein-energy malnutrition characterized by edema, irritability, anorexia, ulcerating dermatoses [en.wikipedia.org]

Otitis Externa

[…] in canal; may have facial numbness/paralysis, severe pain, loss of taste Treatment includes antivirals, systemic corticosteroids Referred pain Normal ear examination Look [aafp.org]

[…] bacterial infections; treat with acetic acid (Vosol), half acetic acid/half alcohol, or topical antifungals; meticulous cleaning of ear canal Ramsay Hunt syndrome Herpetic ulcers [aafp.org]

Herpes Zoster

Figure 1: Profile photograph showing facial scarring and hyperpigmentation post-herpes zoster (case 1) Click here to view Figure 2: Intraoral photograph showing deep ulcerative [doi.org]

Expert opinion also supports the use of steroids in the treatment of acute idiopathic facial palsy in combination with aciclovir.17 Although oral steroids are of benefit in [ncbi.nlm.nih.gov]

[…] steroids and antivirals should therefore be considered for older patients with appreciable pain who do not have a contraindication to steroids (such as diabetes or peptic ulcer [ncbi.nlm.nih.gov]