Face Ulcer

Ulcers on the head and neck

 

 Ulcers on the head and neck are uncommon. The most likely cause in a white skinned population is a malignancy particularly basal cell skin cancer. In the scalp rare causes include ulceration secondary to temporal arteritis. On the vestibule of the nose consider the trigeminal trophic syndrome. Leishmaniasis is a common cause of facial ulceration in dry tropical countries. In a neonate facial ulceration or eschar formation may be congenital Langerhans cell histiocytosis. An eschar can also be seen after Strep and Pseudomonas infection. Cigarette burns can look very similar.

SIGN DIP MEN  Overview of Ulcers

 

S-Squamous

 

I-Infective   Mycobacterium ulcerans, TB, syphilis, Yaws, Leishmaniasis, Anthrax, Noma, Coccidioidomycosis and Herpes Zoster

 

G-Granulomatous  Midline lethal granuloma and Wegener’s granulomatosis

 

N-Neoplastic   Squamous cell and basal cell skin cancer, Secondary malignancy

 

D-Drugs

 

I-Immunological  Pyoderma gangrenosum

 

P-Physical   Traumatic,Venous ,Arterial,Neuropathic, Trauma, Heat, Cold, Facticial, Trigeminotrophic syndrome

 

M-Metabolic   Porphyria cutanea tarda,

 

E-Endocrine

 

N-Nutritional

 

Others   Temporal arteritis